Andrea Vance

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-315484 Issued in NC

Practice address

125 White Magnolia LN
Fuquay Varina, NC 27526-3390

Phone

(757) 759-0179

NPI assigned

Aug 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Amelia Vance Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cary Pediatric Center PA

  • Pediatrics Physician
  • Cary, NC
  • NPI 1790817963

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1437980042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHITE MAGNOLIA LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263390",
            "telephone_number": "757-759-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WHITE MAGNOLIA LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263390",
            "telephone_number": "757-759-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NC",
            "license": "L-315484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "VANCE",
            "middle_name": "AMELIA",
            "credential": "IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Lactation Consultant (Non-RN) in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Lactation Consultant (Non-RN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.