Individual provider Active NPI

Tricia Lynne Elbl, IBCLC

  • Lactation Consultant (Non-RN)
  • Natick, MA
National Provider Identifier
1457637548
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11146577 Issued in IL
Practice address
8 Kinsman PL
Natick, MA 01760-2703
Phone
(630) 329-6643
Fax
(508) 653-2045
NPI assigned
Nov 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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 11146577 IL Primary

Addresses

Primary practice location

8 Kinsman PL
Natick, MA 01760-2703

Mailing address

8 Kinsman PL
Natick, MA 01760-2703
Phone (630) 329-6643

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
11146577ILMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1457637548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KINSMAN PL",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602703",
            "telephone_number": "630-329-6643",
            "fax_number": "508-653-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KINSMAN PL",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602703",
            "telephone_number": "630-329-6643",
            "fax_number": "508-653-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBL",
        "first_name": "TRICIA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "11146577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.