Jessica Sypolt, IBCLC, RLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Round Hill, VA

NPI 1518409705 · NPPES record last updated Nov 5, 2016

Key facts

NPI
1518409705
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
Practice address
17376 Tedler Cir
Round Hill, VA 20141-2633
Phone
(972) 979-3015
NPI assigned
Nov 5, 2016
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lactation Consultants of America Lactation Consultant, Non-RN Past
since Aug 1, 2023
Accepting new patients
Creative Lactation Past Accepting new patients
Milk in Motion Lactation Consultant, Non-RN Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X Yes

Addresses

Primary practice location

17376 Tedler Cir
Round Hill, VA 20141-2633

Mailing address

17376 Tedler Cir
Round Hill, VA 20141-2633
Phone (972) 979-3015

Other providers in Round Hill, VA

All providers in Round Hill, VA · Lactation Consultant (Non-RN) in Virginia

Sources for this page

Verify at the official NPI Registry.