Sherri Lynn Theberge, RN, IBCLC, LMT, CD

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

11157 Issued in VI

Practice address

60 Hoxsie Ave
Warwick, RI 02889-1444

Phone

(340) 514-3299

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1558817163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOXSIE AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891444",
            "telephone_number": "340-514-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOXSIE AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891444",
            "telephone_number": "340-514-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10-17 Estate Enighed",
            "address_purpose": "LOCATION",
            "city": "Cruz Bay",
            "state": "VI",
            "postal_code": "00830",
            "country_code": "US",
            "telephone_number": "340-514-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEBERGE",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "credential": "RN, IBCLC, LMT, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-05-11",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VI",
            "license": "11157",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "VI",
            "license": "11157",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "VI",
            "license": "11157",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "VI",
            "license": "8125-26",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VI",
            "license": "11157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Warwick, RI
• Providers in Warwick, RI by specialty
• Lactation Consultant (Registered Nurse) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.