Wintress Blyth McCormick, LPN, CBC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

22098 Issued in LA

Practice address

7020 Highway 190 Ste C
Covington, LA 70433-4962

Phone

(985) 871-7337

Fax

(985) 871-7600

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fairway Pediatrics LLC

  • Pediatrics Physician
  • Covington, LA
  • NPI 1245275809
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1760115901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 HIGHWAY 190 STE C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334962",
            "telephone_number": "985-871-7337",
            "fax_number": "985-871-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 HIGHWAY 190 STE C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334962",
            "telephone_number": "985-871-7337",
            "fax_number": "985-871-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "WINTRESS",
        "middle_name": "BLYTH",
        "name_prefix": "Ms.",
        "credential": "LPN, CBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20180342",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "LA",
            "license": "22098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREPARED CHILDBIRTH EDUCATORS",
            "identifier": "22098",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF NURSING",
            "identifier": "20180342",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradford Bryan McClendon, M.S., CCC-SLP
• Stephanie Accardo McCloskey, MOT, LOTR, CHT
• McComiskey & Vallelungo, L.L.C.
• Emmett Colin McComiskey, MD
• Sara McConnell
• Beverly Jean McCoy, FNP
• Jessica McCoy
• McDaniel Dermatology, LLC
• Brianna McDaniel
• Christopher McDaniel

• All providers in Covington, LA
• Lactation Consultant (Non-RN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.