Credentialing and Billing LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

CREDENTIALING AND BILLING LLC

Practice address

3101 N Central Ave Ste 1834869
Phoenix, AZ 85012-2645

Phone

(403) 589-6960

Fax

(208) 218-0544

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Lynne Bruno, RN, IBCLC, MSCP

Title

Ceo

Phone

(403) 589-6960

Specialties & licenses 11

Addresses

Other names 1

• The Mama Coach Other name

Locations

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1457199523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 1834869",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122645",
            "telephone_number": "403-589-6960",
            "fax_number": "208-218-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 1834869",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122645",
            "telephone_number": "403-589-6960",
            "fax_number": "208-218-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENTIALING AND BILLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "403-589-6960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, IBCLC, MSCP"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Perinatal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Neonatal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mama Coach",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Mama Coach",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Lactation Consultant (Registered Nurse) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Lactation Consultant (Registered Nurse) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.