Active NPI
Elizabeth Ireland Flight, RN, BSN, IBCLC, ANLC
- Lactation Consultant (Registered Nurse)
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 0001182636
- Practice address
- 5741 Cleveland St Ste 150
Virginia Beach, VA 23462-1777 - Phone
- (757) 422-5502
- Fax
- (757) 455-8055
- NPI assigned
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 0001182636 | VA | Primary |
Addresses
Primary practice location
5741 Cleveland St Ste 150
Virginia Beach, VA 23462-1777
Mailing address
5741 Cleveland St Ste 150
Virginia Beach, VA 23462-1777
Phone (757) 422-5502
Other practice location 1
6317 Jack St
Pensacola, FL 32504-8155
Phone (757) 618-6311
Other practice location 2
47310 S Snow Hill Manor Rd
Lexington Park, MD 20653-3540
Phone (757) 618-6311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193-11219 | Other | VA | INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT |
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001182636 | VA | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Lactation Group, Inc. | Lactation Consultant | Current | Accepting new patients |
Locations
5741 Cleveland St
Ste 150
Virginia Beach, VA 23462
Phone (757) 422-5502
4176 S Plaza Trl
Ste 217
Virginia Beach, VA 23452
Phone (757) 401-4435
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.
-
- Lactation Consultant (Registered Nurse)
- Virginia Beach, VA
- NPI 1790999621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1902155674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5741 CLEVELAND ST STE 150",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621777",
"telephone_number": "757-422-5502",
"fax_number": "757-455-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5741 CLEVELAND ST STE 150",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621777",
"telephone_number": "757-422-5502",
"fax_number": "757-455-8055"
}
],
"practiceLocations": [
{
"address_1": "6317 Jack St",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048155",
"country_code": "US",
"telephone_number": "757-618-6311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "47310 S Snow Hill Manor Rd",
"address_purpose": "LOCATION",
"city": "Lexington Park",
"state": "MD",
"postal_code": "206533540",
"country_code": "US",
"telephone_number": "757-618-6311",
"fax_number": "757-455-8055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLIGHT",
"first_name": "ELIZABETH",
"middle_name": "IRELAND",
"name_prefix": "Ms.",
"credential": "RN, BSN, IBCLC, ANLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2022-08-29",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "VA",
"license": "0001182636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT",
"identifier": "193-11219",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.