Individual provider Active NPI

Judith Wren Fayre, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Newbury, MA
National Provider Identifier
1558869248
Registry record updated Jan 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
11139330 Issued in MA
Practice address
7 S Pond St
Newbury, MA 01951-1219
Phone
(603) 568-8282
Fax
(978) 358-7247
NPI assigned
Jan 27, 2018
Last updated
Jan 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 11139330 MA Primary

Addresses

Primary practice location

7 S Pond St
Newbury, MA 01951-1219

Mailing address

7 S Pond St
Newbury, MA 01951-1219
Phone (603) 568-8282

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
11139330MAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1517011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517011200000",
    "number": "1558869248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S POND ST",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511219",
            "telephone_number": "603-568-8282",
            "fax_number": "978-358-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S POND ST",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511219",
            "telephone_number": "603-568-8282",
            "fax_number": "978-358-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYRE",
        "first_name": "JUDITH",
        "middle_name": "WREN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-27",
        "last_updated": "2018-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "11139330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2018; 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.