Organization Active NPI

Stephanie Simon

  • Lactation Consultant (Non-RN)
  • Girard, OH
National Provider Identifier
1790574531
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
STEPHANIE SIMON
Practice address
2302 Tibbetts Wick Rd
Girard, OH 44420-1231
Phone
(330) 203-1880
Fax
(866) 419-3574
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Stephanie Simon, RN, IBCLCNPI 1194438143
Title
Ceo/Ibclc
Phone
(330) 240-6198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

2302 Tibbetts Wick Rd
Girard, OH 44420-1231

Mailing address

1426 Sodom Hutchings Rd
Girard, OH 44420-1348
Phone (330) 240-6198

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1790574531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 SODOM HUTCHINGS RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201348",
            "telephone_number": "330-240-6198",
            "fax_number": "866-419-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 TIBBETTS WICK RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201231",
            "telephone_number": "330-203-1880",
            "fax_number": "866-419-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE SIMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO/IBCLC",
        "authorized_official_telephone_number": "330-240-6198",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.