Active NPI
Caryn Elizabeth Burtt
- Lactation Consultant (Non-RN)
- Austin, TX
National Provider Identifier
1376846089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-315188
- Practice address
- 1201 W 38TH St
Austin, TX 78705-1006 - Phone
- (917) 287-4357
- NPI assigned
- Dec 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | L-315188 | TX | Primary |
Addresses
Primary practice location
1201 W 38TH St
Austin, TX 78705-1006
Mailing address
3408 Graybuck Rd
Austin, TX 78748-1031
Phone (917) 287-4357
Other practice location 1
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
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 |
|---|---|---|---|
| L-315188 | TX | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1376846089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 GRAYBUCK RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787481031",
"telephone_number": "917-287-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W 38TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051006",
"telephone_number": "917-287-4357"
}
],
"practiceLocations": [
{
"address_1": "6001 Kyle Pkwy",
"address_purpose": "LOCATION",
"city": "Kyle",
"state": "TX",
"postal_code": "786406112",
"country_code": "US",
"telephone_number": "512-504-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTT",
"first_name": "CARYN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": "TX",
"license": "L-315188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.