Individual provider Active NPI

Amanda Alvarez, MS, IBCLC

  • Lactation Consultant (Non-RN)
  • Grapevine, TX
National Provider Identifier
1801468046
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
2910 Creekwood Dr
Grapevine, TX 76051-5661
Phone
(251) 689-2085
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 Primary

Addresses

Primary practice location

2910 Creekwood Dr
Grapevine, TX 76051-5661

Mailing address

2910 Creekwood Dr
Grapevine, TX 76051-5661
Phone (251) 689-2085

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL nestcollaborative.com
Other URL charmhealth.com

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1801468046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CREEKWOOD DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515661",
            "telephone_number": "251-689-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 CREEKWOOD DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515661",
            "telephone_number": "251-689-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "AMANDA",
        "credential": "MS, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nestcollaborative.com",
            "affiliation": "N",
            "address_1": "2910 Creekwood Dr",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760515661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "charmhealth.com",
            "affiliation": "N",
            "address_1": "2910 Creekwood Dr",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760515661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.