Active NPI
Deborah Eldarrat, IBCLC
- Lactation Consultant (Registered Nurse)
- Saint Louis, MO
National Provider Identifier
1518784164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-302788
- Practice address
- 634 Mendelssohn Dr
Saint Louis, MO 63122-2544 - Phone
- (314) 825-4906
- NPI assigned
- Sep 24, 2024
- 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 | L-302788 | MO | Primary |
Addresses
Primary practice location
634 Mendelssohn Dr
Saint Louis, MO 63122-2544
Mailing address
634 Mendelssohn Dr
Saint Louis, MO 63122-2544
Phone (314) 825-4906
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 |
|---|---|---|---|
| L-302788 | MO | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1518784164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 MENDELSSOHN DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631222544",
"telephone_number": "314-825-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 MENDELSSOHN DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631222544",
"telephone_number": "314-825-4906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDARRAT",
"first_name": "DEBORAH",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": "MO",
"license": "L-302788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.