Organization Active NPI

Christina Angela Dorris

Doing business as Breast Feeding First

  • Lactation Consultant (Registered Nurse)
  • Normal, IL
National Provider Identifier
1396151189
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
041330854 Issued in IL
Legal business name
CHRISTINA ANGELA DORRIS
Doing business as
Breast Feeding First
Practice address
103 N Orr Dr
Apt 6
Normal, IL 61761-1965
Phone
(309) 660-6401
Fax
(309) 451-0897
NPI assigned
Jul 1, 2014
Last updated
Jul 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Mrs. Christina Angela Dorris, RN, IBCLCNPI 1922603232
Title
RLC
Phone
(309) 660-6401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 041330854 IL Primary

Addresses

Primary practice location

103 N Orr Dr
Apt 6
Normal, IL 61761-1965

Mailing address

103 N Orr Dr
Apt 6
Normal, IL 61761-1965
Phone (309) 660-6401

Other names 1

  • Breast Feeding First Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1396151189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N ORR DR",
            "address_2": "APT 6",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611965",
            "telephone_number": "309-660-6401",
            "fax_number": "309-451-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N ORR DR",
            "address_2": "APT 6",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611965",
            "telephone_number": "309-660-6401",
            "fax_number": "309-451-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA ANGELA DORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "DORRIS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "RLC",
        "authorized_official_telephone_number": "309-660-6401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041330854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast Feeding First",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.