Taylor Conkel, BSN, RNC-MNN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

899812 Issued in TX

Practice address

1217 Wilma St
Tyler, TX 75701-5644

Phone

(903) 805-0233

NPI assigned

Apr 25, 2023

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Bachelor on Science - Nursing

State licenses

Practice roles

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.

• Bloom Lactation of Tyler, LLC

  • Lactation Consultant (Registered Nurse)
  • Tyler, TX
  • NPI 1740978121
  NPD Authorized official

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1811685209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WILMA ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015644",
            "telephone_number": "903-805-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WILMA ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015644",
            "telephone_number": "903-805-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKEL",
        "first_name": "TAYLOR",
        "credential": "BSN, RNC-MNN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "899812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam Concha
• Conciergemed, PLLC
• Chelsea Elizebeth Conder, CSFA
• Confidence Healthcare Services ,Inc.
• Joseph Michael Conflitti, MD
• Julie H Conley, RNFA
• Amanda Connally
• Connect and Restore Therapy, LLC
• Connections Clinical Care, PLLC
• Connections of Hope

• Lactation Consultant (Registered Nurse) in Tyler, TX
• Providers in Tyler, 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 Apr 25, 2023; 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.