Ayesha Patterson, LPN,IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

5045 Foxdale Dr
Whitehall, PA 18052-2234

Phone

(646) 275-4982

NPI assigned

Apr 24, 2020

Last updated

Apr 24, 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

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1659991008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 FOXDALE DR",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180522234",
            "telephone_number": "646-275-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 FOXDALE DR",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180522234",
            "telephone_number": "646-275-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "AYESHA",
        "credential": "LPN,IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lata Patel
• Prem Patel
• Rikin Patel, PHARM.D.
• Virag A Patel
• Ashley Patete
• Michelle Paulino, M.S., CCC-SLP
• Pennsylvania CVS Pharmacy. L.L.C. (Cvs Pharmacy #11084)
• Joseph A Perelli, D.C.
• Person Directed Supports, Inc.
• Jennifer Marie Petruska, OD

• Lactation Consultant (Non-RN) in Whitehall, PA
• Providers in Whitehall, PA by specialty
• Lactation Consultant (Non-RN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.