Active NPI
Brenda F. Dalton, RNC, IBCLC, RLC
- Lactation Consultant (Registered Nurse)
- Keithville, LA
National Provider Identifier
1750583068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- RN057428
- Practice address
- 10414 Willoughby Cir
Keithville, LA 71047-9564 - Phone
- (318) 862-0112
- NPI assigned
- May 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 (Registered Nurse) | 163WL0100X | RN057428 | LA | Primary |
Addresses
Primary practice location
10414 Willoughby Cir
Keithville, LA 71047-9564
Mailing address
10414 Willoughby Cir
Keithville, LA 71047-9564
Phone (318) 862-0112
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 |
|---|---|---|---|
| RN057428 | LA | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lactation Resource Center LLC | Lactation Consultant | Current | Accepting new patients |
Locations
2001 E 70th St
Ste 215
Shreveport, LA 71105
Phone (318) 862-0112
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.
-
- Lactation Consultant (Registered Nurse)
- Shreveport, LA
- NPI 1023909017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750583068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10414 WILLOUGHBY CIR",
"city": "KEITHVILLE",
"state": "LA",
"postal_code": "710479564",
"telephone_number": "318-862-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10414 WILLOUGHBY CIR",
"city": "KEITHVILLE",
"state": "LA",
"postal_code": "710479564",
"telephone_number": "318-862-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "BRENDA",
"middle_name": "F.",
"name_prefix": "Mrs.",
"credential": "RNC, IBCLC, RLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "LA",
"license": "RN057428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keithville, LA
- Caddo Parish Fire District No 6
- Caddo Parish Fire District No. 4
- Caddo Parish Fire District No. Six
- Caring Wellness Medical Transportation L.L.C.
- Faith Choyce, PLMFT
- David Raines Community Health Center, Inc (David Raines School Based Health Center-Keithville Elementary/Middle)
- Felecia Dixon
- Dream Team Transportation
- Duriable Medical Equipment of Keithville
- Sheri Harris Gault, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.