Active NPI
Elizabeth Soriano-Clark, IBCLC
- Lactation Consultant (Non-RN)
- Beaver, PA
National Provider Identifier
1679232425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-48664
- Practice address
- 545 Navigation St
Beaver, PA 15009-1809 - Phone
- (714) 868-6646
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | RN716127 | PA | |
| Lactation Consultant (Non-RN) | 174N00000X | L-48664 | VA | Primary |
Addresses
Primary practice location
545 Navigation St
Beaver, PA 15009-1809
Mailing address
841 23Rd St # 41
Aliquippa, PA 15001-2784
Phone (714) 868-6646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L-48664 | Other | VA | HTTPS://WWW.IBCLE.ORG |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.birthohm.com | Direct |
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 |
|---|---|---|---|
| RN716127 | PA | MD | Lactation Consultant (Registered Nurse) |
| L-48664 | VA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1679232425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 23RD ST # 41",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150012784",
"telephone_number": "714-868-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 NAVIGATION ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150091809",
"telephone_number": "714-868-6646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIANO-CLARK",
"first_name": "ELIZABETH",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "PA",
"license": "RN716127",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "VA",
"license": "L-48664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HTTPS://WWW.IBCLE.ORG",
"identifier": "L-48664",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.birthohm.com",
"affiliation": "N",
"endpointDescription": "General Website and Scheduling",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "545 Navigation St",
"city": "Beaver",
"state": "PA",
"country_code": "US",
"postal_code": "150091809",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.