Organization Active NPI

Brooke Knows Breast, LLC

  • Lactation Consultant (Non-RN)
  • Havertown, PA
National Provider Identifier
1700694403
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
BROOKE KNOWS BREAST, LLC
Practice address
33 Kathmere Rd
Havertown, PA 19083-3809
Phone
(805) 709-1133
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Brooke Azevedo, BS, IBCLCNPI 1184097826
Title
Owner/Lactation Consultant
Phone
(805) 709-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

33 Kathmere Rd
Havertown, PA 19083-3809

Mailing address

33 Kathmere Rd
Havertown, PA 19083-3809
Phone (805) 709-1133

Other names 1

  • Brooke Azevedo Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1700694403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 KATHMERE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833809",
            "telephone_number": "805-709-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 KATHMERE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833809",
            "telephone_number": "805-709-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE KNOWS BREAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "AZEVEDO",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER/LACTATION CONSULTANT",
        "authorized_official_telephone_number": "805-709-1133",
        "authorized_official_credential": "BS, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooke Azevedo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.