Individual provider Active NPI

Elizabeth Ireland Flight, RN, BSN, IBCLC, ANLC

  • Lactation Consultant (Registered Nurse)
  • Virginia Beach, VA
National Provider Identifier
1902155674
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
0001182636 Issued in VA
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

Updated by the provider on Aug 29, 2022

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 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

IdentifierTypeStateIssuer
193-11219OtherVAINTERNATIONAL 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

LicenseStateTypeSpecialty
0001182636VAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Lactation Group, Inc. Lactation Consultant CurrentSince Mar 1, 2021 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.

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.

Verify at the official NPI Registry.