Individual provider Active NPI

Jennifer Clare Defranco, RN, RLC, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Warrenton, VA
National Provider Identifier
1669085585
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
1168067 Issued in VA
Practice address
4475 Corral Rd
Warrenton, VA 20187-5820
Phone
(703) 499-3290
NPI assigned
Aug 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X 1168067 VA Primary

Addresses

Primary practice location

4475 Corral Rd
Warrenton, VA 20187-5820

Mailing address

4475 Corral Rd
Warrenton, VA 20187-5820
Phone (703) 499-3290

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1168067VAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1669085585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 CORRAL RD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201875820",
            "telephone_number": "703-499-3290",
            "fax_number": "571-248-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 CORRAL RD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201875820",
            "telephone_number": "703-499-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCO",
        "first_name": "JENNIFER",
        "middle_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "RN, RLC, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "1168067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.