Tanya Smith, BA, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-108255

Practice address

6385 Walnut CV
Benton, AR 72019-1511

Phone

(501) 725-1275

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

Yes

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 of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serenity Breastfeeding Support LLC

  • Lactation Consultant (Non-RN)
  • Benton, AR
  • NPI 1336660604

  Lactation Consultant, Non-RN

  NPD Authorized official
• Lactation Consultants of America

  • Lactation Consultant (Non-RN)
  • Big Bear City, CA
  • NPI 1740929694

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568982817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 WALNUT CV",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720191511",
            "telephone_number": "501-725-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 WALNUT CV",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720191511",
            "telephone_number": "501-725-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TANYA",
        "credential": "BA, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-108255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Smith, RECOVERY ASSISTANT
• Michael Smith
• Nicholas Smith
• Pamela Smith, BS
• Rachel Smith, RECOVERY ASSISTANT
• Tiffany Smith, PTA
• Tynetha Smith
• Zachery Milton Smith
• Timothy Snider Jr., RECOVERY ASSISTANT
• Angela Snow, OTR

• Lactation Consultant (Non-RN) in Benton, AR
• Providers in Benton, AR by specialty
• Lactation Consultant (Non-RN) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.