Individual provider Active NPI

Safiya Suleman Hafizi, RN, IBCLC, FNP-C

  • Family Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1952780470
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127524 Issued in TX
Practice address
4423 Laburnam Rd
Richmond, TX 77407-1013
Phone
(832) 566-8949
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 744210 TX
Family Nurse Practitioner 363LF0000X AP127524 TX Primary

Addresses

Primary practice location

4423 Laburnam Rd
Richmond, TX 77407-1013

Mailing address

4423 Laburnam Rd
Richmond, TX 77407-1013
Phone (832) 566-8949

Other names 1

  • Safiya Imtiyaz Momin Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@simplylactation.com
Direct Messaging Address info@simplylactation.com

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
744210TXMDLactation Consultant (Registered Nurse)
AP127524TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Lactation, LLC Lactation Consultant 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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1952780470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 LABURNAM RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071013",
            "telephone_number": "832-566-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 LABURNAM RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071013",
            "telephone_number": "832-566-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFIZI",
        "first_name": "SAFIYA",
        "middle_name": "SULEMAN",
        "credential": "RN, IBCLC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2021-11-08",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "744210",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@simplylactation.com",
            "affiliation": "N",
            "address_1": "4423 Laburnam Rd",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774071013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@simplylactation.com",
            "affiliation": "N",
            "address_1": "4423 Laburnam Rd",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774071013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAFIYA",
            "last_name": "MOMIN",
            "middle_name": "IMTIYAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.