Carolyn Reierstad, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-157130 Issued in FL

Practice address

2609 Nez Perce TRL
Tallahassee, FL 32303-2143

Phone

(850) 559-2663

NPI assigned

Aug 27, 2024

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

State licenses

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1790519387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 NEZ PERCE TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032143",
            "telephone_number": "850-559-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 NEZ PERCE TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032143",
            "telephone_number": "850-559-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIERSTAD",
        "first_name": "CAROLYN",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "L-157130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Reichard, DPT
• Kathleen Reid, ARNP
• Kiaira Shanice Reid
• Rashida A Reid, MD
• Stacy-Ann Natasha Regina Reid, M.D
• Amy Reimer Neal, M.D.
• Terence N Reisman, M. D.
• Paula Reiter, LCSW
• Relaxations Health & Wellness Spa, Inc
• Jaquay Washington Rembert

• Lactation Consultant (Non-RN) in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Lactation Consultant (Non-RN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.