Individual provider Active NPI

Samantha J Peairson, MSN, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Weatherford, TX
National Provider Identifier
1699480343
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
961368 Issued in TX
Practice address
3770 Zion Hill Rd
Weatherford, TX 76088-7438
Phone
(817) 694-1840
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 961368 TX Primary

Addresses

Primary practice location

3770 Zion Hill Rd
Weatherford, TX 76088-7438

Mailing address

3770 Zion Hill Rd
Weatherford, TX 76088-7438
Phone (817) 694-1840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@peairsonlactation.com

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
961368TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Peairson Lactation LLC Lactation Consultant Current Accepting new patients
Nichole McCloy LLC Dba Fort Worth Lactation & Tongue Tie Specialists Lactation Consultant Past Accepting new patients
Lactation Consultants of America Lactation Consultant Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1699480343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 ZION HILL RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887438",
            "telephone_number": "817-694-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 ZION HILL RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887438",
            "telephone_number": "817-694-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAIRSON",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "MSN, RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "961368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@peairsonlactation.com",
            "affiliation": "N",
            "address_1": "3770 Zion Hill Rd",
            "city": "Weatherford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760887438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.