Shannon M Blankenship, BS,IBCLC,RLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11020108 Issued in GA

Practice address

3807 Clairmont Rd
Chamblee, GA 30341-4911

Phone

(678) 475-4319

NPI assigned

May 24, 2011

Last updated

Jan 12, 2012By the provider in NPPES

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

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1871886804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 GABLES WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293238",
            "telephone_number": "941-920-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 CLAIRMONT RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414911",
            "telephone_number": "678-475-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "BS,IBCLC,RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "11020108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David O. Bidot, M.D.
• Shawn Gene Bisacco, D.C.
• Sarah Blackwell, M.ED., CCC-SLP
• Phyllisa Dawn Blake, RN
• Dillon Blankenship, DC
• Andrea K Boc, LCSW
• Keilani Body
• Adrian Box, M.D.
• Kimberly Brazis
• Sue A Brenner, M.D.

• Lactation Consultant (Non-RN) in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.