Tracy Lynn Williams, IBCLC, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

ALPP-231171 Issued in MO

Practice address

1122 Edgewood Dr
Festus, MO 63028-3400

Phone

(314) 606-0717

NPI assigned

Jan 5, 2017

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1699210211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 EDGEWOOD DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630283400",
            "telephone_number": "314-606-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 EDGEWOOD DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630283400",
            "telephone_number": "314-606-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "IBCLC, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MO",
            "license": "ALPP-231171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Lee Wilkinson, OTR/L
• Caree Williams
• Eric Williams
• Mary Ann Williams
• Renee Williams
• Nathan David Williamson, D.M.D.
• Julie Ann Wilson, BSN, RNFA
• Natalie Joan Wilson, CPNP
• Kara Michelle Wirth, PA-C
• Stacy Wisdom

• Lactation Consultant (Non-RN) in Festus, MO
• Providers in Festus, MO by specialty
• Lactation Consultant (Non-RN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.