Shannon Demiter, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L109189 Issued in WA

Practice address

24928 Old Pipeline Rd
Monroe, WA 98272-9681

Phone

(253) 350-5123

NPI assigned

Jan 30, 2020

Last updated

Jan 31, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Snohomish Valley Breastfeeding

  • Lactation Consultant (Non-RN)
  • Monroe, WA
  • NPI 1013451749

  Lactation Consultant, Non-RN

  NPD Authorized official
• Aeroflow Connect LLC

  dba Lactation Link

  • Lactation Consultant (Non-RN)
  • Asheville, NC
  • NPI 1790306819

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1710518485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24928 OLD PIPELINE RD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729681",
            "telephone_number": "253-350-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24928 OLD PIPELINE RD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729681",
            "telephone_number": "253-350-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMITER",
        "first_name": "SHANNON",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "WA",
            "license": "L109189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenn Dazey, N.D.
• DDK, PLLC
• Rosa Maria De Prado Gonzalez, LMFT
• Audrey De Soto
• Leslie Delorenzi, M.S., CCC-SLP
• Brock Austin Denison
• Pam Denton
• Glyn Desmond, LMP
• Meghan Lea Devlin, ARNP
• Lora Helen Devore, PT

• Lactation Consultant (Non-RN) in Monroe, WA
• Providers in Monroe, WA by specialty
• Lactation Consultant (Non-RN) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.