Active NPI
Stephanie Diana Housley, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Burleson, TX
National Provider Identifier
1508535451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-86581
- Practice address
- 125 N Wilson St
Burleson, TX 76028-4167 - Phone
- (817) 382-1314
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-86581 | TX | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-86581 | VA | Primary |
Addresses
Primary practice location
125 N Wilson St
Burleson, TX 76028-4167
Mailing address
PO Box 40382
Fort Worth, TX 76140-0382
Phone (817) 382-1314
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
- Bachelor of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-86581 | TX | MD | Lactation Consultant (Registered Nurse) |
| L-86581 | VA | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunflower Babies LLC | Current | Accepting new patients | |
| Nichole McCloy LLC Dba Fort Worth Lactation & Tongue Tie Specialists | Lactation Consultant | Past | Accepting new patients |
| Lactation Consultants of America | Lactation Consultant | Past | Accepting new patients |
Locations
125 N Wilson St
Burleson, TX 76028
Phone (817) 382-1314
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Burleson, TX
- NPI 1922777887
-
- Lactation Consultant (Registered Nurse)
- Fort Worth, TX
- NPI 1003653916
-
- Lactation Consultant (Non-RN)
- Big Bear City, CA
- NPI 1740929694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631923200000",
"number": "1508535451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40382",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761400382",
"telephone_number": "817-382-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N WILSON ST",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284167",
"telephone_number": "817-382-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSLEY",
"first_name": "STEPHANIE",
"middle_name": "DIANA",
"credential": "RN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-18",
"certification_date": "2021-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "TX",
"license": "L-86581",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "VA",
"license": "L-86581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
- Home Care Extended LLC
- Kevin S Homer, MD
- David Robert Hook, CPO, LPO
- Kristen G. Hosaka, D.C.
- Heather House, RNFA
- HP Burleson Opco, LLC (Morada Burleson)
- Huguley Medical Associates (Texas Health Medical Associates)
- Huguley Memorial Medical Center (Huguley Home Health)
- Huguley Surgery Center, LLP (Doctors Surgery Center at Huguley)
- Deborah P Hume, R.N., M.ED., CET BCB
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.