Individual provider Active NPI

Erin M Fitzpatrick

  • Lactation Consultant (Non-RN)
  • Lehigh Acres, FL
National Provider Identifier
1679239222
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
2413 Ted Ave S
Lehigh Acres, FL 33973
Phone
(239) 478-2854
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 1679239222 FL
Lactation Consultant (Non-RN) 174N00000X 1679239222
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

2413 Ted Ave S
Lehigh Acres, FL 33973

Mailing address

2413 Ted Ave S
Lehigh Acres, FL 33973-6139

Other practice location 1

9720 Commerce Center Ct Ste A1
Fort Myers, FL 33908-3606
Phone (813) 291-4695

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

LicenseStateTypeSpecialty
1679239222FLMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Lactation Center Lactation Consultant, Non-RN CurrentSince Nov 1, 2021 Accepting new patients

Locations

9720 Commerce Center Ct
Ste A1
Fort Myers, FL 33908

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1679239222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 TED AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339736139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 TED AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33973",
            "telephone_number": "239-478-2854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9720 Commerce Center Ct Ste A1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083606",
            "country_code": "US",
            "telephone_number": "813-291-4695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "ERIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "1679239222",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "1679239222",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.