Tracy Darlene Gaudlip, IBCLC, LIC LC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

LC000086 Issued in GA

Practice address

575 Boulevard SE
Atlanta, GA 30312-3464

Phone

(404) 454-9751

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1790261626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BOULEVARD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123464",
            "telephone_number": "404-454-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BOULEVARD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123464",
            "telephone_number": "404-454-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDLIP",
        "first_name": "TRACY",
        "middle_name": "DARLENE",
        "credential": "IBCLC, LIC LC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "LC000086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine E.W. Gathura, M.D., MPH
• Lawson Gatlin, PA-C
• Crystal Burwell Gatling, LPC
• Sherri Gatson, LCSW
• Leda Portia Gattoc, MD
• Sarah Gaudry, NP-C
• Shamim Gauhar
• Gauld Vein and Vascular LLC
• Stephen Gaulden, PTA
• Dale Lane Gaulding

• Lactation Consultant (Non-RN) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.