Active NPI
Chelsea Davis, CLC, CLD (DV)
- Lactation Consultant (Non-RN)
- Cumming, GA
National Provider Identifier
1508457201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 329052
- Practice address
- 3790 Westhaven Dr
Cumming, GA 30040-7664 - Phone
- (470) 848-4006
- NPI assigned
- Jan 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | 329052 | GA | Primary |
Addresses
Primary practice location
3790 Westhaven Dr
Cumming, GA 30040-7664
Mailing address
3790 Westhaven Dr
Cumming, GA 30040-7664
Phone (470) 848-4006
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 329052 | GA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1508457201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3790 WESTHAVEN DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300407664",
"telephone_number": "470-848-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 WESTHAVEN DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300407664",
"telephone_number": "470-848-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHELSEA",
"credential": "CLC, CLD (DV)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "GA",
"license": "329052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.