Individual provider Active NPI

Kristen Smith

  • Lactation Consultant (Registered Nurse)
  • Raleigh, NC
National Provider Identifier
1871323907
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-305502 Issued in NC
Practice address
5 W Hargett St RM 1012
Raleigh, NC 27601-1377
Phone
(850) 404-2662
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 L-305502 NC Primary

Addresses

Primary practice location

5 W Hargett St RM 1012
Raleigh, NC 27601-1377

Mailing address

516 Avondale Ave
Rocky Mount, NC 27804-4005
Phone (252) 903-0093

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

State licenses

LicenseStateTypeSpecialty
L-305502NCMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
The Better Boob LLC Lactation Consultant CurrentSince Aug 11, 2024 Accepting new patients

Locations

5 W Hargett St
Rm 1012
Raleigh, NC 27601
Phone (336) 287-8816

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1871323907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 AVONDALE AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044005",
            "telephone_number": "252-903-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W HARGETT ST RM 1012",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011377",
            "telephone_number": "850-404-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "L-305502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.