Active NPI
Bettina Pearson, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- South Portland, ME
National Provider Identifier
1508196817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- R023002
- Practice address
- 98 Parrott St
South Portland, ME 04106-4618 - Phone
- (207) 775-6455
- NPI assigned
- Jan 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | R023002 | ME | Primary |
Addresses
Primary practice location
98 Parrott St
South Portland, ME 04106-4618
Mailing address
98 Parrott St
South Portland, ME 04106-4618
Phone (207) 775-6455
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
| License | State | Type | Specialty |
|---|---|---|---|
| R023002 | ME | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1508196817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 PARROTT ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041064618",
"telephone_number": "207-775-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 PARROTT ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041064618",
"telephone_number": "207-775-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "BETTINA",
"name_prefix": "Ms.",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "ME",
"license": "R023002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.