Alicia Cazzolla, RN,IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN9280517 Issued in FL

Practice address

428 Saint Johns Golf Dr
Saint Augustine, FL 32092-1080

Phone

(904) 201-9729

NPI assigned

Mar 6, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1366209256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SAINT JOHNS GOLF DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921080",
            "telephone_number": "904-201-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 SAINT JOHNS GOLF DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921080",
            "telephone_number": "904-201-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZZOLLA",
        "first_name": "ALICIA",
        "credential": "RN,IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9280517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce D Cathcart, MPT
• Anthony V Catoggio, BA
• Jeremy Alan Caudill, D.O.
• Timothy J Cavacini, D.O.
• Nicole Russo Cavignaro, PA-C
• Serena Cecere, MS
• Iris Cedeno, ARNP
• Arianna Renee Celano
• Maried Esther Celkis, M.D.
• Center for Comprehensive Services, Inc

• Lactation Consultant (Registered Nurse) in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.