NPIMap

Organization Active NPI

Emilia Smith

Doing business as Sisu Lactation

  • Lactation Consultant (Non-RN)
  • Portland, OR
National Provider Identifier
1497170161
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-47067 Issued in OR
Legal business name
EMILIA SMITH
Doing business as
Sisu Lactation
Practice address
1424 NE 74TH Ave
Portland, OR 97213-6123
Phone
(503) 805-1143
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Emilia Megtaleena Smith, IBCLC
Title
Lactation Consultant
Phone
(503) 805-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X L-47067 OR Primary

Addresses

Primary practice location

1424 NE 74TH Ave
Portland, OR 97213-6123

Mailing address

1424 NE 74TH Ave
Portland, OR 97213-6123
Phone (503) 805-1143

Other names 1

  • Sisu Lactation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1497170161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 NE 74TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136123",
            "telephone_number": "503-805-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 NE 74TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136123",
            "telephone_number": "503-805-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILIA SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_middle_name": "MEGTALEENA",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "503-805-1143",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OR",
            "license": "L-47067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sisu Lactation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.