Active NPI
Rachelle Ann Sperando
- Lactation Consultant (Registered Nurse)
- Babylon, NY
National Provider Identifier
1619660743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 372585-01
- Practice address
- 655 Deer Park Ave
Babylon, NY 11702-1314 - Phone
- (631) 376-3901
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 (Registered Nurse) | 163WL0100X | 372585-01 | NY | Primary |
Addresses
Primary practice location
655 Deer Park Ave
Babylon, NY 11702-1314
Mailing address
1000 Montauk Hwy FL 5
West Islip, NY 11795-4927
Phone (631) 376-3901
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 372585-01 | NY | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1619660743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MONTAUK HWY FL 5",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954927",
"telephone_number": "631-376-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 DEER PARK AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "117021314",
"telephone_number": "631-376-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERANDO",
"first_name": "RACHELLE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "372585-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Babylon, NY
- South Shore Speech Language and Swallowing Disorders PLLC
- Dena Spanos
- Jeffrey A. Sparks, RN
- Jennafer Lauren Spedaleri, MS ED.
- Stephanie Spence
- Leslie Spivak, PH.D.
- Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
- Margaret M Spring, OTR
- James Anthony Stallone, D.O.
- Christine Ann Stamatos, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.