Individual provider Active NPI

Sara Walsh, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Port Isabel, TX
National Provider Identifier
1760063572
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
1196730 Issued in TX
Practice address
722 N Yturria St Unit B
Port Isabel, TX 78578-4644
Phone
(971) 241-1353
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 201140524RN OR
Lactation Consultant (Registered Nurse) 163WL0100X 67356 ID
Lactation Consultant (Registered Nurse) 163WL0100X 1196730 TX Primary

Addresses

Primary practice location

722 N Yturria St Unit B
Port Isabel, TX 78578-4644

Mailing address

722 N Yturria St Unit B
Port Isabel, TX 78578-4644

Other practice location 1

3420 Basswood Blvd Ste 130
Fort Worth, TX 76137-1467
Phone (303) 960-2422

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
67356IDMDLactation Consultant (Registered Nurse)
201140524RNORMDLactation Consultant (Registered Nurse)
1196730TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Lilyarden Lactation Lactation Consultant CurrentSince May 18, 2025 Accepting new patients
Bella Vie Gentle Birth Center LLC Past Accepting new patients
Nichole McCloy LLC Dba Fort Worth Lactation & Tongue Tie Specialists Lactation Consultant Past Accepting new patients

Locations

550 2nd St
Ste 296
Idaho Falls, ID 83401
Phone (971) 241-1353

3420 Basswood Blvd
Ste 130
Fort Worth, TX 76137
Phone (303) 960-2422

Organizations & group practices 3

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1760063572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N YTURRIA ST UNIT B",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785784644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N YTURRIA ST UNIT B",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785784644",
            "telephone_number": "971-241-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 Basswood Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761371467",
            "country_code": "US",
            "telephone_number": "303-960-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SARA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "201140524RN",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ID",
            "license": "67356",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "1196730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Isabel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.