Individual provider Active NPI

Amanda Bartolomucci, IBCLC

  • Lactation Consultant (Non-RN)
  • Royersford, PA
National Provider Identifier
1649089699
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-317445 Issued in NU
Practice address
595 Old State Rd
Royersford, PA 19468-3217
Phone
(412) 973-3006
NPI assigned
Jan 4, 2025
Last updated
Jan 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-317445 NU Primary

Addresses

Primary practice location

595 Old State Rd
Royersford, PA 19468-3217

Mailing address

595 Old State Rd
Royersford, PA 19468-3217
Phone (412) 973-3006

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

NPI Registry JSON

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1649089699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 OLD STATE RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194683217",
            "telephone_number": "412-973-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 OLD STATE RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194683217",
            "telephone_number": "412-973-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOMUCCI",
        "first_name": "AMANDA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-317445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.