Nichole McCloy, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

1126599 Issued in TX

Practice address

12432 Morris Dido Newark Rd
Fort Worth, TX 76179-9206

Phone

(303) 960-2422

NPI assigned

Jul 28, 2022

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abundant Lactation LLC

  • Lactation Consultant (Registered Nurse)
  • Fort Worth, TX
  • NPI 1346139177
  NPD Authorized official
• Nichole McCloy LLC Dba Fort Worth Lactation & Tongue Tie Specialists

  • Lactation Consultant (Registered Nurse)
  • Fort Worth, TX
  • NPI 1003653916
  NPD Authorized official
• Abundant Lactation LLC

  • Lactation Consultant (Registered Nurse)
  • Springfield, IL
  • NPI 1760370209
  NPD Authorized official
• Lactation Consultants of America

  • Lactation Consultant (Non-RN)
  • Big Bear City, CA
  • NPI 1740929694
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1801522123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12432 MORRIS DIDO NEWARK RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761799206",
            "telephone_number": "303-960-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12432 MORRIS DIDO NEWARK RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761799206",
            "telephone_number": "303-960-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOY",
        "first_name": "NICHOLE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-72667",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "1126599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Byron McClain Sr., M.D.
• Bethany McClean, RN, CFNP
• Susen Deanne McCleery-Derrick, FNP
• Mary Margaret McClelen, DNP, FNP-C
• Jennifer E McCliment, AUD
• Charles Forrer Anderson McCluer III, D.D.S.
• Cooper Lowe McClung I, LPC
• Jamy C. Black McCole, OT
• Shaterra McCollister, CPNP-PC
• Aaryn McComb, O.D.

• Lactation Consultant (Registered Nurse) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.