Elizabeth Simmons, IBCLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A19751 Issued in NC

Practice address

4558 Pleasant Garden Rd
Pleasant Garden, NC 27313-9533

Phone

(336) 388-9291

NPI assigned

May 14, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1548648207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FORESTWOOD DR",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632927",
            "telephone_number": "336-870-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 PLEASANT GARDEN RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273139533",
            "telephone_number": "336-388-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Forestwood Dr",
            "address_purpose": "LOCATION",
            "city": "Archdale",
            "state": "NC",
            "postal_code": "272632927",
            "country_code": "US",
            "telephone_number": "336-870-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ELIZABETH",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-56484",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A19751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Pleasant Garden, NC
• Providers in Pleasant Garden, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.