Active NPI
Sara M Reed
- Lactation Consultant (Non-RN)
- Jonesborough, TN
National Provider Identifier
1790030146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 11169425
- Practice address
- 146 Park Dr
Jonesborough, TN 37659-5745 - Phone
- (423) 737-5794
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 11169425 | TN | Primary |
Addresses
Primary practice location
146 Park Dr
Jonesborough, TN 37659-5745
Mailing address
146 Park Dr
Jonesborough, TN 37659-5745
Phone (423) 737-5794
Other practice location 1
301 Med Tech Pkwy Ste 180
Johnson City, TN 37604-2364
Phone (423) 794-5540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11169425 | TN | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nursing Nook LLC | Current | Accepting new patients | |
| The Nursing Nook | Past | Accepting new patients |
Organizations & group practices 2
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)
- Jonesborough, TN
- NPI 1467220574
-
- Durable Medical Equipment & Medical Supplies
- Jonesborough, TN
- NPI 1396090759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1790030146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 PARK DR",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376595745",
"telephone_number": "423-737-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 PARK DR",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376595745",
"telephone_number": "423-737-5794"
}
],
"practiceLocations": [
{
"address_1": "301 Med Tech Pkwy Ste 180",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042364",
"country_code": "US",
"telephone_number": "423-794-5540",
"fax_number": "423-926-3187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "SARA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "TN",
"license": "11169425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesborough, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.