Active NPI
Ileana Berrios
- Lactation Consultant (Non-RN)
- Philadelphia, PA
National Provider Identifier
1619407236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 4020 M St
Philadelphia, PA 19124-5326 - Phone
- (267) 800-8090
- NPI assigned
- Jun 15, 2017
- 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 | Primary |
Addresses
Primary practice location
4020 M St
Philadelphia, PA 19124-5326
Mailing address
4020 M St
Philadelphia, PA 19124-5326
Phone (267) 800-8090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.breastfeedinglatinas.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1619407236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 M ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191245326",
"telephone_number": "267-800-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 M ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191245326",
"telephone_number": "267-800-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIOS",
"first_name": "ILEANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.breastfeedinglatinas.org",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4020 M St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191245326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.