Tisha Powell, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

1097398 Issued in AL

Practice address

871 Winding Wood Dr
Wetumpka, AL 36093-1685

Phone

(334) 328-5138

NPI assigned

Jun 23, 2022

Last updated

Jun 23, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Region Lactation LLC

  • Nursing Care Agency
  • Wetumpka, AL
  • NPI 1245988856
  NPD Authorized official

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1770214264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 WINDING WOOD DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931685",
            "telephone_number": "334-328-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 WINDING WOOD DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931685",
            "telephone_number": "334-328-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TISHA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AL",
            "license": "1097398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tishapowell@rrlactation.com",
            "affiliation": "Y",
            "endpointDescription": "Business email",
            "affiliationName": "River Region Lactation LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "871 Winding Wood Dr",
            "city": "Wetumpka",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360931685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physicians Choice Dialysis of Alabama LLC (Physicians Choice Dialysis - Elmore County)
• Leslie Susan Powers, MS, LPC
• Prattville S&S, Dba Magnolia Wood Lodge
• Preferred Psych Associates
• Prevail Tenacity Services
• Pri Med Physicians Inc (Pri Med Wetumpka)

• Lactation Consultant (Registered Nurse) in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Lactation Consultant (Registered Nurse) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.