Bailey Benson Shelby

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-309862 Issued in AL

Practice address

2504 Randolph PL
Mountain BRK, AL 35223-1130

Phone

(251) 278-7752

NPI assigned

Sep 20, 2024

Last updated

Sep 20, 2024By 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 2

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1841017043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RANDOLPH PL",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231130",
            "telephone_number": "251-278-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RANDOLPH PL",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231130",
            "telephone_number": "251-278-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "BAILEY",
        "middle_name": "BENSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-171619",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AL",
            "license": "L-309862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Scogin, DPT
• Katie Rushing Sellers, PHARM.D.
• Philippa Susan Sellick
• Sharing Space Therapy LLC
• Shelby Miller Counseling and Consulting, LLC
• Justin Ryan Shepherd, MPT
• Madison Sherer, M.S. CCC SLP
• Deborah Shunnarah, ALC
• Nadeem Siddiqui
• Ellen Leigh Simmons

• Lactation Consultant (Registered Nurse) in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Lactation Consultant (Registered Nurse) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.