Individual provider Active NPI

Barbara Elaine Wilson Clay, BSED IBCLC

  • Specialist
  • Manchaca, TX
National Provider Identifier
1871799403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
12710 Burson Drive
Manchaca, TX 78652
Phone
(512) 292-7227
Fax
(512) 292-7228
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

12710 Burson Drive
Manchaca, TX 78652

Mailing address

12710 Burson Drive
Manchaca, TX 78652
Phone (512) 292-7227

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871799403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 BURSON DRIVE",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "78652",
            "telephone_number": "512-292-7227",
            "fax_number": "512-292-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 BURSON DRIVE",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "78652",
            "telephone_number": "512-292-7227",
            "fax_number": "512-292-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON CLAY",
        "first_name": "BARBARA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "BSED IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchaca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.