Organization Active NPI

Modern Beginnings, LLC

  • Lactation Consultant (Registered Nurse)
  • Bedford, TX
National Provider Identifier
1629406194
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
MODERN BEGINNINGS, LLC
Practice address
2700 Tibbets Dr Ste 502
Bedford, TX 76022-5916
Phone
(817) 805-5843
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Jayna Bailey, RN, IBCLC
Title
Member
Phone
(817) 805-5843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X Primary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X

Addresses

Primary practice location

2700 Tibbets Dr Ste 502
Bedford, TX 76022-5916

Mailing address

2700 Tibbets Dr Ste 502
Bedford, TX 76022-5916
Phone (817) 805-5843

National Provider Directory

National Provider Directory

Locations

2700 Tibbets Dr
Ste 502
Bedford, TX 76022
Phone (817) 571-2899

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1629406194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR STE 502",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225916",
            "telephone_number": "817-805-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR STE 502",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225916",
            "telephone_number": "817-805-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN BEGINNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JAYNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-805-5843",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.