Active NPI
Leah Elizabeth Jolly, IBCLC
- Lactation Consultant (Non-RN)
- Pearland, TX
National Provider Identifier
1679086458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-15977
- Practice address
- 2017 Broadway St Ste B
Pearland, TX 77581-5501 - Phone
- (713) 496-2223
- NPI assigned
- Nov 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-15977 | TX | Primary |
Addresses
Primary practice location
2017 Broadway St Ste B
Pearland, TX 77581-5501
Mailing address
6104 Jordan Dr
Pearland, TX 77584-8024
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-15977 | TX | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Breastfeeding and Education, LLC | Lactation Consultant, Non-RN | Current | Accepting new patients |
Locations
2017 Broadway St
#B
Pearland, TX 77581
Phone (281) 412-6008
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 and National Provider Directory roles.
-
- Lactation Consultant (Non-RN)
- Pearland, TX
- NPI 1851678924
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1679086458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6104 JORDAN DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 BROADWAY ST STE B",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815501",
"telephone_number": "713-496-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLY",
"first_name": "LEAH",
"middle_name": "ELIZABETH",
"credential": "IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "TX",
"license": "L-15977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.