Active NPI
Lydia Dailey, IBCLC
- Lactation Consultant (Non-RN)
- Clarksville, TN
National Provider Identifier
1467091108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-49712
- Practice address
- 1328 Burchett Dr
Clarksville, TN 37042-6767 - Phone
- (615) 972-5395
- NPI assigned
- Dec 28, 2019
- Last updated
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-49712 | TN | |
| Lactation Consultant (Non-RN) | 174N00000X | L-49712 | Primary |
Addresses
Primary practice location
1328 Burchett Dr
Clarksville, TN 37042-6767
Mailing address
1328 Burchett Dr
Clarksville, TN 37042-6767
Phone (615) 972-5395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250921 | Other | TN | TN BOARD OF NURSING |
| L-49712 | Other | IBLCE |
Other names 1
- Lydia McGrew
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | expressionslactation@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-49712 | TN | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1467091108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 BURCHETT DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426767",
"telephone_number": "615-972-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 BURCHETT DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426767",
"telephone_number": "615-972-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "LYDIA",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-28",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "TN",
"license": "L-49712",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "L-49712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BOARD OF NURSING",
"identifier": "250921",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBLCE",
"identifier": "L-49712",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "expressionslactation@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1328 Burchett Dr",
"city": "Clarksville",
"state": "TN",
"country_code": "US",
"postal_code": "370426767",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "MCGREW",
"credential": "IBCLC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.