Individual provider Active NPI

Lindsay Petty, RN, BSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Bethesda, MD
National Provider Identifier
1427549963
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-135790 Issued in ZZ
Practice address
7621A Carteret Rd
Bethesda, MD 20817-2020
Phone
(301) 503-0739
NPI assigned
May 21, 2018
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-135790 ZZ Primary

Addresses

Primary practice location

7621A Carteret Rd
Bethesda, MD 20817-2020

Mailing address

7621A Carteret Rd
Bethesda, MD 20817-2020
Phone (301) 503-0739

Other practice location 1

10360 Little Patuxent Parkway
#128
Columbia, MD 21044
Phone (301) 943-9293

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-135790ZZMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1427549963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7621A CARTERET RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172020",
            "telephone_number": "301-503-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621A CARTERET RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172020",
            "telephone_number": "301-503-0739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10360 Little Patuxent Parkway",
            "address_2": "#128",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "21044",
            "country_code": "US",
            "telephone_number": "301-943-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTY",
        "first_name": "LINDSAY",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ZZ",
            "license": "L-135790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.