Lisa Ann Conroy, BSN,RN,IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN068462 Issued in GA

Practice address

6885 Woody Vine Dr
Jacksonville, FL 32258-5507

Phone

(404) 539-1938

NPI assigned

Jul 1, 2021

Last updated

Jul 1, 2021By 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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Thrive Lactation Center

  • Lactation Consultant (Registered Nurse)
  • Fort Myers, FL
  • NPI 1043987712
  NPD

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1710557657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17473 ASHCOMB WAY",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286517",
            "telephone_number": "813-291-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 WOODY VINE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585507",
            "telephone_number": "404-539-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "BSN,RN,IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "RN068462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Conrad, CRNA
• Shyeanne Deja Nicole Conrad
• Tiffany Conrad
• Peter A Conrique
• John Paul Conroy, OT
• Conscious Sol, LLC (Insight Psychiatry and Counseling, LLC)
• Katherine V Considine, M.D.
• Consolidated Pharmacy Services (Walk of Hope Boutiqe)
• Consolidated Pharmacy Services, Inc
• Constance L Cooper PA

• Lactation Consultant (Registered Nurse) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.