Individual provider Active NPI

Susanne Estes, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • New River, AZ
National Provider Identifier
1629857792
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
RN198571 Issued in AZ
Practice address
3825 W Brogan CT
New River, AZ 85087-6201
Phone
(602) 334-0811
NPI assigned
Sep 27, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-303905 AZ
Lactation Consultant (Registered Nurse) 163WL0100X RN198571 AZ Primary

Addresses

Primary practice location

3825 W Brogan CT
New River, AZ 85087-6201

Mailing address

3825 W Brogan CT
New River, AZ 85087-6201
Phone (602) 334-0811

Other practice location 1

3825 W Brogan Ct
New River, AZ 85087-6201
Phone (602) 334-0811

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
Credentials
Bachelor of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-303905AZMDLactation Consultant (Registered Nurse)
RN198571AZMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Lactation Consultants of America Lactation Consultant PastSince Aug 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1629857792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 W BROGAN CT",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850876201",
            "telephone_number": "602-334-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 W BROGAN CT",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850876201",
            "telephone_number": "602-334-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 W Brogan Ct",
            "address_purpose": "LOCATION",
            "city": "New River",
            "state": "AZ",
            "postal_code": "850876201",
            "country_code": "US",
            "telephone_number": "602-334-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTES",
        "first_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "L-303905",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "RN198571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New River, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.