Brielle Lynn Petrella, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

237865 Issued in PA

Practice address

74 Ellisdale Rd
Allentown, NJ 08501-1508

Phone

(609) 218-0892

NPI assigned

Jul 8, 2016

Last updated

Jul 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1629420195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ELLISDALE RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011508",
            "telephone_number": "609-218-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ELLISDALE RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011508",
            "telephone_number": "609-218-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRELLA",
        "first_name": "BRIELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "PA",
            "license": "237865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Michele Pflug, RDN
• Kelly A Quaste
• Alexis R Rasmussen, IBCLC
• Sheila Rios Riehle, COMPASSIONATE CARE
• Genesis Carmen Rios, LPC

• Lactation Consultant (Non-RN) in Allentown, NJ
• Providers in Allentown, NJ by specialty
• Lactation Consultant (Non-RN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.