Tracy Stadter, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L10016417 Issued in DE

Practice address

503 Lambeth PL
Newark, DE 19711-3007

Phone

(302) 690-0059

NPI assigned

Sep 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1487101184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 LAMBETH PL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113007",
            "telephone_number": "302-690-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 LAMBETH PL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113007",
            "telephone_number": "302-690-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADTER",
        "first_name": "TRACY",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "DE",
            "license": "L10016417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "L10016417",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACTATION CONSULTANT-RN",
            "identifier": "19714303",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREASTFEEDING AND MORE, INC.",
            "identifier": "1996105991",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Augustine Health System Delaware LLC
• St. Francis Healthcare Services
• St. Francis Hospital, Inc
• Melody Stack
• Brett Stadler, MD
• Autumn Stafford, LMSW
• Kelly M Stafford, MS, ATC
• Taryn Stafford
• Avishai Stahl Altman
• Savannah Standard

• Lactation Consultant (Registered Nurse) in Newark, DE
• Providers in Newark, DE by specialty
• Lactation Consultant (Registered Nurse) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.