Individual provider Active NPI

Julie Alayne Gladney, LPN, IBCLC, RLC

  • Lactation Consultant (Non-RN)
  • Athens, OH
National Provider Identifier
1740572627
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-20141 Issued in OH
Practice address
217 Columbus Rd Ste 105
Athens, OH 45701-1393
Phone
(740) 818-8871
Fax
(844) 442-5114
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 142244 OH
Lactation Consultant (Non-RN) 174N00000X 108-85240 OH
Prevention Professional 405300000X L-20141 OH
Lactation Consultant (Non-RN) 174N00000X L-20141 OH Primary

Addresses

Primary practice location

217 Columbus Rd Ste 105
Athens, OH 45701-1393

Mailing address

PO Box 393
Athens, OH 45701-0393
Phone (740) 818-8871

Other practice location 1

6781 Beechwood Dr
Athens, OH 45701-3532
Phone (740) 818-8871

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
PN 142244OHMDLicensed Practical Nurse
108-85240OHMDLactation Consultant (Non-RN)
L-20141OHMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Ebb & Flow Lactation Services Current Accepting new patients

Locations

217 Columbus Rd
Ste 105
Athens, OH 45701
Phone (740) 200-0562

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740572627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010393",
            "telephone_number": "740-818-8871",
            "fax_number": "740-447-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 COLUMBUS RD STE 105",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011393",
            "telephone_number": "740-818-8871",
            "fax_number": "844-442-5114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6781 Beechwood Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457013532",
            "country_code": "US",
            "telephone_number": "740-818-8871",
            "fax_number": "740-447-9605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "JULIE",
        "middle_name": "ALAYNE",
        "credential": "LPN, IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 142244",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OH",
            "license": "108-85240",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OH",
            "license": "L-20141",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OH",
            "license": "L-20141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.