Joann D Privette, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

103-20714 Issued in SC

Practice address

106 Fairhaven Dr
Goose Creek, SC 29445-8001

Phone

(843) 297-2497

NPI assigned

Aug 28, 2012

Last updated

Aug 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1689922379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FAIRHAVEN DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "29445",
            "telephone_number": "843-297-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FAIRHAVEN DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294458001",
            "telephone_number": "843-297-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVETTE",
        "first_name": "JOANN",
        "middle_name": "D",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "SC",
            "license": "103-20714",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen O Price, APRN
• William David Price, MD
• Primecare Family Practice LLC
• Ashlee Jeane' Prince
• Queen-Ella Pringle, LPC-A
• Proactive Therapy of South Carolina Inc (Select Physical Therapy)
• Stephen Douglas Pyles, LICENSED OPTICIAN
• Laura Quamme, PHARMD
• Trudie Quick, APRN
• Olessya Rahbar

• Lactation Consultant (Non-RN) in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Lactation Consultant (Non-RN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.