Andrea Detwiler, RN, BSN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

230575 Issued in NC

Practice address

1200 Spartanburg Hwy
Suite 100
Hendersonville, NC 28792-5855

Phone

(828) 692-4223

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1558745935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SPARTANBURG HWY",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925855",
            "telephone_number": "828-692-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SPARTANBURG HWY",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925855",
            "telephone_number": "828-692-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "ANDREA",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "230575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine A Derreberry, PTA
• Joseph R Desantola, MD
• Alina Desousa
• Joseph Anthony Destefano Jr., M.D.
• Laura Deterville, LPC
• Jaynamarie Dever, PT, DPT
• Melissa Priscilla Dewing, MSN, APRN-FNP-C
• Juana Diaz Perez, PA-C
• Carrie Lynn Didlake, LCSW
• Emily Lauren Diehl Felty, PHD, LCSW

• Lactation Consultant (Registered Nurse) in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Lactation Consultant (Registered Nurse) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.