Active NPI
Sara Walsh, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Port Isabel, TX
National Provider Identifier
1760063572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 1196730
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 67356 | ID | MD | Lactation Consultant (Registered Nurse) |
| 201140524RN | OR | MD | Lactation Consultant (Registered Nurse) |
| 1196730 | TX | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilyarden Lactation | Lactation Consultant | Current | 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.
-
- Lactation Consultant (Registered Nurse)
- Port Isabel, TX
- NPI 1669262507
Lactation Consultant
-
- Lactation Consultant (Registered Nurse)
- Fort Worth, TX
- NPI 1003653916
Lactation Consultant
-
- Birthing Clinic/Center
- Salem, OR
- NPI 1235622408
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.