Individual provider Active NPI

Sara M Reed

  • Lactation Consultant (Non-RN)
  • Jonesborough, TN
National Provider Identifier
1790030146
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11169425 Issued in TN
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

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11169425TNMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
The Nursing Nook LLC CurrentSince Dec 24, 2023 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.

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.

Verify at the official NPI Registry.