Individual provider Active NPI

Rachel Bostjanick, RN, BSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Springfield, VA
National Provider Identifier
1598244147
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
0001253877 Issued in VA
Practice address
7402 Flemingwood LN
Springfield, VA 22153-1701
Phone
(703) 425-2229
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN1035100 DC
Lactation Consultant (Registered Nurse) 163WL0100X 0001253877 VA Primary

Addresses

Primary practice location

7402 Flemingwood LN
Springfield, VA 22153-1701

Mailing address

4621 Randolph Dr
Annandale, VA 22003-6218

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1035100DCMDLactation Consultant (Registered Nurse)
0001253877VAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1598244147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 RANDOLPH DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 FLEMINGWOOD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531701",
            "telephone_number": "703-425-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTJANICK",
        "first_name": "RACHEL",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "DC",
            "license": "RN1035100",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "0001253877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.