Stacy-Ann Latoya Louie, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L142321 Issued in GA

Practice address

3160 Main St Ste 102
Duluth, GA 30096-3461

Phone

(678) 750-3121

NPI assigned

Feb 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gwinnett Breastfeeding, LLC

  • Lactation Consultant (Non-RN)
  • Duluth, GA
  • NPI 1750993655

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1699308668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 MONTRACHET DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433190",
            "telephone_number": "678-750-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 MAIN ST STE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "678-750-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "STACY-ANN",
        "middle_name": "LATOYA",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L142321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "CharmEHR",
            "affiliation": "N",
            "endpointDescription": "This is an electronic health record",
            "address_1": "3160 Main St Ste 102",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300963461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marypaige Long, M.ED
• Miranda Kristen Long
• Daniel Bradley Lord, M.D.
• Julius Lorinc, SA
• Lorna L. Benbenisty, PH.D., LLC
• Michael Lubarsky, M.D.
• Tania Lugo, MD
• Miriam Iuliana Lulusa, PHARMD
• Andrew Lutz, PT
• Luxottica of America Inc

• Lactation Consultant (Non-RN) in Duluth, GA
• Providers in Duluth, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.