Individual provider Active NPI

Dana Kawalautzki Lauducci, IBCLC

  • Lactation Consultant (Non-RN)
  • Branchburg, NJ
National Provider Identifier
1437589488
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-46164 Issued in NJ
Practice address
13 Laurel CT
Branchburg, NJ 08876-3492
Phone
(908) 575-8428
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-46164 NJ Primary

Addresses

Primary practice location

13 Laurel CT
Branchburg, NJ 08876-3492

Mailing address

13 Laurel CT
Branchburg, NJ 08876-3492
Phone (908) 575-8428

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

LicenseStateTypeSpecialty
L-46164NJMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Bridan Enterprises Lactation Consultant, Non-RN PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1437589488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LAUREL CT",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763492",
            "telephone_number": "908-575-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LAUREL CT",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763492",
            "telephone_number": "908-575-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDUCCI",
        "first_name": "DANA",
        "middle_name": "KAWALAUTZKI",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NJ",
            "license": "L-46164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.