Alexis Ryan, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

315310 Issued in FL

Practice address

820 Burland Cir
Winter Garden, FL 34787-2189

Phone

(407) 473-0786

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Alexis Ciera Fox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1447802541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SEAGOING TRL FL 32164",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645546",
            "telephone_number": "407-473-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BURLAND CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872189",
            "telephone_number": "407-473-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": "SBD20110775",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "315310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "FOX",
            "middle_name": "CIERA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Anthony Russell Jr., DC
• Angelo Rutty Espinoza
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• Ryan Le DMD Mba PLLC (Lakeview Dental)
• Saa Homecare LLC (Synergy Home Care of Winter Garden)
• Jessamine Joyce Gabutin Saducas, OTR
• Hussien Ahmed Said, MD
• Schmidt Roshell Saintil
• Ayam Salem

• Lactation Consultant (Non-RN) in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Lactation Consultant (Non-RN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.