Individual provider Active NPI

Suzanne Lindsay Holson, IBCLC

  • Lactation Consultant (Non-RN)
  • Dumfries, VA
National Provider Identifier
1689926461
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
IBCLC#10522208 Issued in VA
Practice address
4317 Jonathan Court
Dumfries, VA 22025-1142
Phone
(703) 785-4018
Fax
(703) 680-9702
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X IBCLC#10522208 VA Primary

Addresses

Primary practice location

4317 Jonathan Court
Dumfries, VA 22025-1142

Mailing address

4317 Jonathan Court
Dumfries, VA 22025-1142
Phone (703) 785-4018

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
IBCLC#10522208VAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1689926461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 JONATHAN COURT",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251142",
            "telephone_number": "703-785-4018",
            "fax_number": "703-680-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 JONATHAN COURT",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251142",
            "telephone_number": "703-785-4018",
            "fax_number": "703-680-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSON",
        "first_name": "SUZANNE",
        "middle_name": "LINDSAY",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "VA",
            "license": "IBCLC#10522208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.