Active NPI
Anna Coughlin, IBCLC
- Lactation Consultant (Non-RN)
- White Salmon, WA
National Provider Identifier
1417570797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- LC-LC-10207619
- Practice address
- 492 SE Wyers St
White Salmon, WA 98672 - Phone
- (253) 278-4713
- NPI assigned
- May 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | LC-LC-10207619 | OR | Primary |
Addresses
Primary practice location
492 SE Wyers St
White Salmon, WA 98672
Mailing address
PO Box 2062
White Salmon, WA 98672-2062
Phone (253) 278-4713
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 |
|---|---|---|---|
| LC-LC-10207619 | OR | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1417570797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2062",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "986722062",
"telephone_number": "253-278-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 SE WYERS ST",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "98672",
"telephone_number": "253-278-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLIN",
"first_name": "ANNA",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": "OR",
"license": "LC-LC-10207619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Salmon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.