Active NPI
Julia Alexandra Porter, IBCLC
- Lactation Consultant (Non-RN)
- Greenville, SC
National Provider Identifier
1720842552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-314316
- Practice address
- 3900 SC- 14
Suite 1B
Greenville, SC 29615 - Phone
- (854) 757-4951
- NPI assigned
- Feb 12, 2024
- Last updated
- Feb 12, 2024
- 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-314316 | SC | Primary |
Addresses
Primary practice location
3900 SC- 14
Suite 1B
Greenville, SC 29615
Mailing address
3900 SC-14
Greenville, SC 29615
Phone (864) 757-4951
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-314316 | SC | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentzel, LLC | Lactation Consultant, Non-RN | Current | Accepting new patients |
| LNC Health, LLC | Current | Accepting new patients |
Locations
3900 S Highway 14
Ste 1B
Greenville, SC 29615
Phone (854) 757-4951
Organizations & group practices 2
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 Nourish Integrative Lactation & Wellness
- Pediatrics Physician
- Greenville, SC
- NPI 1619858560
-
dba Meredith Wentzel, MA, IBCLC, LMBT
- Lactation Consultant (Non-RN)
- Greenville, SC
- NPI 1164081816
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1720842552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 SC-14",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-757-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 SC- 14",
"address_2": "SUITE 1B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "854-757-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "JULIA",
"middle_name": "ALEXANDRA",
"credential": "IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "SC",
"license": "L-314316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.