Birthing Boldly, LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

BIRTHING BOLDLY, LLC

Practice address

187 Lick Fork Creek Rd
Reidsville, NC 27320-7752

Phone

(336) 344-3839

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Tiffany SladeNPI 1174118863

Title

Owner/Lactation Consultant

Phone

(336) 344-3839

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Slade

  • Lactation Consultant (Non-RN)
  • Reidsville, NC
  • NPI 1174118863

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1619628229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 LICK FORK CREEK RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207752",
            "telephone_number": "336-344-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 LICK FORK CREEK RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207752",
            "telephone_number": "336-344-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTHING BOLDLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/LACTATION CONSULTANT",
        "authorized_official_telephone_number": "336-344-3839"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany@birthingboldlyllc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "187 Lick Fork Creek Rd",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273207752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beverly Rucker Family Care Home #8
• Beverly Rucker Family Care Home #9
• Beverly Rucker Family Care Home #9
• Bio-Medical Applications of North Carolina, Inc.
• Birth Arts International
• Vanessa Nikitta Blackwell, LCAS
• Angela Hall Boles, MS, NCC, LPC
• Cynthia Ann Bolton, D.D.S.
• Kimberly Randall Booker, CNM, WHNP-BC
• Anna W. Boone, ANP-BC

• Lactation Consultant (Non-RN) in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Lactation Consultant (Non-RN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.