Individual provider Active NPI

Sophia Angela Szymeczek, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Greenville, NC
National Provider Identifier
1508121203
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
73989 Issued in NC
Practice address
2301 Stantonsburg Rd Ste C
Greenville, NC 27834-2851
Phone
(252) 916-0933
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Lactation Consultant (Registered Nurse) 163WL0100X 73989 NC Primary

Addresses

Primary practice location

2301 Stantonsburg Rd Ste C
Greenville, NC 27834-2851

Mailing address

518 B Greenville Blvd. SE
Greenville, NC 27858-2851
Phone (252) 364-8729

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
73989NCMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1508121203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 B GREENVILLE BLVD. SE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278582851",
            "telephone_number": "252-364-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 STANTONSBURG RD STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342851",
            "telephone_number": "252-916-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMECZEK",
        "first_name": "SOPHIA",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "73989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.