Individual provider Active NPI

Elizabeth Rose Bernadine Naylor, CD, IBCLC, LGSW

  • Social Worker
  • New Brighton, MN
National Provider Identifier
1437426533
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
32763 Issued in MN
Practice address
1731 1St St SW
New Brighton, MN 55112-3315
Phone
(952) 457-3834
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X
Doula 374J00000X
Social Worker 104100000X 32763 MN Primary

Addresses

Primary practice location

1731 1St St SW
New Brighton, MN 55112-3315

Mailing address

1731 1St St SW
New Brighton, MN 55112-3315
Phone (952) 457-3834

Other practice location 1

299 Coon Rapids, Blvd. NE
Suite 101
Coon Rapids, MN 55433
Phone (651) 240-2206

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

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1437426533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 1ST ST SW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123315",
            "telephone_number": "952-457-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 1ST ST SW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123315",
            "telephone_number": "952-457-3834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Coon Rapids, Blvd. NE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "55433",
            "country_code": "US",
            "telephone_number": "651-240-2206",
            "fax_number": "612-446-5766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE BERNADINE",
        "credential": "CD, IBCLC, LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "32763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.