Individual provider Active NPI

Brittani Edds, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Broomfield, CO
National Provider Identifier
1689263758
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
1644073 Issued in CO
Practice address
935 Kohl St
Broomfield, CO 80020-1822
Phone
(303) 257-5653
NPI assigned
Jan 13, 2021
Reactivated
Feb 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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) 163WL0100X 1644073 CO Primary

Addresses

Primary practice location

935 Kohl St
Broomfield, CO 80020-1822

Mailing address

935 Kohl St
Broomfield, CO 80020-1822
Phone (303) 257-5653

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
1644073COMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
The Milk Academy LLC Lactation Consultant CurrentSince Jan 31, 2021 Accepting new patients

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1689263758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 KOHL ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201822",
            "telephone_number": "303-257-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 KOHL ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201822",
            "telephone_number": "303-257-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDS",
        "first_name": "BRITTANI",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "deactivation_date": "2021-01-28",
        "reactivation_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CO",
            "license": "1644073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.