Shannon Bentley, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

ALPP-362424

Practice address

314 E State St
Ithaca, NY 14850-4318

Phone

(888) 991-6772

NPI assigned

Sep 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497636823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 S GILBERT RD APT 6308",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504318",
            "telephone_number": "888-991-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "SHANNON",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "ALPP-362424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Belser
• Lisa M Benedetto, CNM
• John Robert Benedict, PHARMD
• Dianna Bennett, RN
• Casey E Benson
• Debbie P Benzer, OTR/L
• Emily Berg, ATC
• Nick Berg, BA
• Patricia Ann Bergman, LCSW
• Stu E Bergman, CSW

• Lactation Consultant (Non-RN) in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.