Individual provider Active NPI

Jane Elizabeth Bradshaw, RN, IBCLC, RLC

  • Lactation Consultant (Registered Nurse)
  • Lynchburg, VA
National Provider Identifier
1811168719
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
0001075277 Issued in VA
Practice address
2900 Old Forest Rd
Suite F
Lynchburg, VA 24501-2335
Phone
(434) 384-6262
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 0001075277 VA Primary

Addresses

Primary practice location

2900 Old Forest Rd
Suite F
Lynchburg, VA 24501-2335

Mailing address

2900 Old Forest Rd
Suite F
Lynchburg, VA 24501-2335
Phone (434) 384-6262

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001075277VAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1811168719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 OLD FOREST RD",
            "address_2": "SUITE F",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012335",
            "telephone_number": "434-384-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 OLD FOREST RD",
            "address_2": "SUITE F",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012335",
            "telephone_number": "434-384-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN, IBCLC, RLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "0001075277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.