Active NPI
Carolyn L Thompson, IBCLC
- Lactation Consultant (Non-RN)
- Chicago, IL
National Provider Identifier
1699664474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-319085
- Practice address
- 1621 W Carroll Ave
Chicago, IL 60612-2501 - Phone
- (888) 510-0059
- NPI assigned
- Jun 28, 2025
- Last updated
- Jun 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-319085 | NV | Primary |
Addresses
Primary practice location
1621 W Carroll Ave
Chicago, IL 60612-2501
Mailing address
PO Box 1442
Logandale, NV 89021-1442
Other practice location 1
1223 E Green Rd
Fruit Heights, UT 84037-2245
Phone (801) 513-3255
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-319085 | NV | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infant Massage With Bri | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Breezy Babies
- Lactation Consultant (Registered Nurse)
- Fruit Heights, UT
- NPI 1124749049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1699664474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1442",
"city": "LOGANDALE",
"state": "NV",
"postal_code": "890211442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 W CARROLL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122501",
"telephone_number": "888-510-0059"
}
],
"practiceLocations": [
{
"address_1": "1223 E Green Rd",
"address_purpose": "LOCATION",
"city": "Fruit Heights",
"state": "UT",
"postal_code": "840372245",
"country_code": "US",
"telephone_number": "801-513-3255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "CAROLYN",
"middle_name": "L",
"credential": "IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-28",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NV",
"license": "L-319085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.