Individual provider Active NPI

Tahysha McClain, IBCLC

  • Lactation Consultant (Non-RN)
  • Charlotte, NC
National Provider Identifier
1467172080
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-98393
Practice address
2128 Remount Rd
Charlotte, NC 28208-5051
Phone
(704) 968-4859
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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 L-98393 Primary

Addresses

Primary practice location

2128 Remount Rd
Charlotte, NC 28208-5051

Mailing address

5148 Kodiak CT
Charlotte, NC 28215-8734
Phone (704) 968-4859

Other practice location 1

1900 Scott Ave Ste 201A
Charlotte, NC 28203-6046
Phone (704) 385-5767

Other practice location 2

1901 South Blvd
Charlotte, NC 28203-4731
Phone (704) 446-1700

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

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1467172080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 KODIAK CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158734",
            "telephone_number": "704-968-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 REMOUNT RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085051",
            "telephone_number": "704-968-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Scott Ave Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282036046",
            "country_code": "US",
            "telephone_number": "704-385-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 South Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282034731",
            "country_code": "US",
            "telephone_number": "704-446-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "TAHYSHA",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-98393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.