Active NPI
Alexis Pamela Amaral, CLC
- Lactation Consultant (Non-RN)
- Charlotte, NC
National Provider Identifier
1366054736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- ALPP-325948
- Practice address
- 2720 South Blvd Apt 310
Charlotte, NC 28209-1500 - Phone
- (860) 951-6542
- NPI assigned
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALPP-325948 | MA | MD | Lactation Consultant (Non-RN) |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | ALPP-325948 | MA | Primary |
Addresses
Primary practice location
2720 South Blvd Apt 310
Charlotte, NC 28209-1500
Mailing address
2720 South Blvd Apt 310
Charlotte, NC 28209-1500
NPI Registry JSON
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1366054736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 SOUTH BLVD APT 310",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282091500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SOUTH BLVD APT 310",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282091500",
"telephone_number": "860-951-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMARAL",
"first_name": "ALEXIS",
"middle_name": "PAMELA",
"credential": "CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "MA",
"license": "ALPP-325948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.