Active NPI
Hannah Black, IBCLC
- Lactation Consultant (Non-RN)
- Fayetteville, AR
National Provider Identifier
1609684695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-316689
- Practice address
- 6035 W Transit St
Fayetteville, AR 72704-5097 - Phone
- (479) 485-1215
- NPI assigned
- Dec 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-316689 | Primary |
Addresses
Primary practice location
6035 W Transit St
Fayetteville, AR 72704-5097
Mailing address
13805 Degraff Rd
Rogers, AR 72756-8866
Phone (479) 531-0135
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atkins Property Management | Lactation Consultant, Non-RN | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Lactation Consultant (Non-RN)
- Fayetteville, AR
- NPI 1528675238
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1609684695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13805 DEGRAFF RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727568866",
"telephone_number": "479-531-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6035 W TRANSIT ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045097",
"telephone_number": "479-485-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "HANNAH",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-21",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "L-316689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.