Lue Blaylock

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-10590 Issued in TX

Practice address

10908 Briaroaks Dr
Fort Worth, TX 76140-5578

Phone

(817) 966-5226

NPI assigned

Apr 14, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Breastfeeding Success Company, LLC

  • Pediatrics Physician
  • Austin, TX
  • NPI 1609275858

  Lactation Consultant

  NPD (past)

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1467986695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 BRIAROAKS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761405578",
            "telephone_number": "817-966-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10908 BRIAROAKS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761405578",
            "telephone_number": "817-966-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "LUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "567933",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-10590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kymber Michelle Blaschke, OD
• Carly Jean Blasingame, CPNP-PC
• Allison Blassingame, PT, DPT
• McKay Andrew Blatter
• Eddie Blay Jr., M.D
• April Theresa Bleich, MD
• Blessed Assurance Home Care, LLC
• Blessed B'Yond Measure
• Blessed Beginings
• Blessed Beginnings

• Lactation Consultant (Registered Nurse) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.