Dietra Rachel Dalton, RN, BSN, IBCLC, CIMI

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

195908 Issued in NC

Practice address

3237 Cragburn PL
Fayetteville, NC 28306-6404

Phone

(336) 392-5384

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1760964878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 CRAGBURN PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283066404",
            "telephone_number": "336-392-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 CRAGBURN PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283066404",
            "telephone_number": "336-392-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "DIETRA",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, IBCLC, CIMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "195908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy C. Palms Adult Care, Inc
• Avkash Vijay Daji, D.O.
• Matthew Amiebi Daka, M.D
• Ngozika U Daka, DMD
• Kami Latisha Dale, LCAS-A, LCMHC-A
• Sanjiv Sharadchandra Dalvi, M.D.
• Sumedha Sanjiv Dalvi, M.D.
• Skye Damon
• Tianna Dandridge
• Brooke Dandurand, DO

• Lactation Consultant (Registered Nurse) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Lactation Consultant (Registered Nurse) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.