Individual provider Active NPI

Carolina Coronado Crisafi, IBCLC

  • Lactation Consultant (Non-RN)
  • Miami, FL
National Provider Identifier
1730936238
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-312396 Issued in FL
Practice address
5981 SW 69TH Ave FL 33143
Miami, FL 33143-1939
Phone
(786) 210-7525
NPI assigned
May 2, 2024
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-312396 FL Primary

Addresses

Primary practice location

5981 SW 69TH Ave FL 33143
Miami, FL 33143-1939

Mailing address

5981 SW 69TH Ave FL 33143
Miami, FL 33143-1939
Phone (786) 210-7525

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

LicenseStateTypeSpecialty
L-312396FLMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
The Lactation Network LLC Lactation Consultant, Non-RN 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.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1730936238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5981 SW 69TH AVE FL 33143",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331431939",
            "telephone_number": "786-210-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 SW 69TH AVE FL 33143",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331431939",
            "telephone_number": "786-210-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISAFI",
        "first_name": "CAROLINA",
        "middle_name": "CORONADO",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "L-312396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.