Lucy Agredano, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-152398 Issued in TX

Practice address

4703 Canyon Bluff Cir
Laredo, TX 78041-7697

Phone

(956) 740-1520

NPI assigned

Sep 13, 2022

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1811619232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 CANYON BLUFF CIR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417697",
            "telephone_number": "956-740-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 CANYON BLUFF CIR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417697",
            "telephone_number": "956-740-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGREDANO",
        "first_name": "LUCY",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-152398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Surgical Center of Laredo
• Advanced Vascular Associates, LLC
• Aesthetic and Healthy Smile, PA
• Ag Health Group LLC
• Carlos Agredano Jr.
• Melissa Elizabeth Aguayo, M.A. LPC, LCDC
• Christian Fernando Agudelo, MD
• Davyne B Aguero, DENTAL HYGIENIST
• Maria Elena Aguero
• Adela Aguilar

• All providers in Laredo, TX
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.