Individual provider Active NPI

Benicia Reed, LPN, IBCLC

  • Lactation Consultant (Non-RN)
  • Smyrna, GA
National Provider Identifier
1699358796
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-322792 Issued in GA
Practice address
2939 Old Concord Rd SE Apt 202
Smyrna, GA 30082-2239
Phone
(408) 431-8263
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN104802 GA
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X L-322792 GA Primary

Addresses

Primary practice location

2939 Old Concord Rd SE Apt 202
Smyrna, GA 30082-2239

Mailing address

2939 Old Concord Rd SE Apt 202
Smyrna, GA 30082-2239
Phone (408) 431-8263

Other practice location 1

17473 Ashcomb Way
Estero, FL 33928-6517
Phone (813) 291-4696

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
256231CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1699358796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 OLD CONCORD RD SE APT 202",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822239",
            "telephone_number": "408-431-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 OLD CONCORD RD SE APT 202",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822239",
            "telephone_number": "408-431-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17473 Ashcomb Way",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339286517",
            "country_code": "US",
            "telephone_number": "813-291-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "BENICIA",
        "credential": "LPN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN104802",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L-322792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.