Rhegan Riane Derfus, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-154093 Issued in AZ

Practice address

3865 Barraco Dr
Sierra Vista, AZ 85650-4211

Phone

(520) 508-0021

NPI assigned

May 28, 2020

Last updated

May 28, 2020By 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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1649894379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 E INNOVATION PARK DR STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 BARRACO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856504211",
            "telephone_number": "520-508-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERFUS",
        "first_name": "RHEGAN",
        "middle_name": "RIANE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AZ",
            "license": "L-154093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Abdelhamid Deif, M.D.
• Analysia J Delgadillo, OD
• Frederique P. Delhaye, M.D.
• Nathan Allen Demarco, PT, DPT, MS
• Dennis George Demers, RN
• Dermatology and Plastic Surgery of Arizona LLC
• Desert Blossom Midwifery LLC
• Desert Cardiovascular Group LTD
• Desert Pain and Rehab Specialists, PLLC
• Desert Rehab LLC

• Lactation Consultant (Non-RN) in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Lactation Consultant (Non-RN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.