Individual provider Active NPI

Elizabeth Ann Donzella, LPN IBCLC

  • Lactation Consultant (Non-RN)
  • Croton on Hudson, NY
National Provider Identifier
1891069969
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11166175 Issued in NY
Practice address
95 Morningside Dr
Croton on Hudson, NY 10520-2824
Phone
(914) 755-4565
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 219889-1 NY
Lactation Consultant (Non-RN) 174N00000X 11166175 NY Primary

Addresses

Primary practice location

95 Morningside Dr
Croton on Hudson, NY 10520-2824

Mailing address

95 Morningside Dr
Croton on Hudson, NY 10520-2824
Phone (914) 755-4565

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
219889-1NYMDLicensed Practical Nurse
11166175NYMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
The Lactation Network LLC Lactation Consultant, Non-RN Past Accepting new patients

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": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1891069969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MORNINGSIDE DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202824",
            "telephone_number": "914-755-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MORNINGSIDE DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202824",
            "telephone_number": "914-755-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONZELLA",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LPN IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "219889-1",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "11166175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.