Individual provider Active NPI

Susan Glaeser, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Cedar Park, TX
National Provider Identifier
1982217923
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
554498 Issued in TX
Practice address
301 Brushy Creek Rd Ste 106
Cedar Park, TX 78613-3151
Phone
(512) 765-9599
NPI assigned
Aug 28, 2020
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 554498 TX
Lactation Consultant (Registered Nurse) 163WL0100X L-20142 TX
Lactation Consultant (Registered Nurse) 163WL0100X 554498 TX Primary

Addresses

Primary practice location

301 Brushy Creek Rd Ste 106
Cedar Park, TX 78613-3151

Mailing address

9311 N FM 620 Rd # 247
Austin, TX 78726-4129
Phone (512) 765-9959

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
554498TXMDRegistered Nurse
L-20142TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Babies 411 LLC Registered Nurse CurrentSince Mar 1, 2021 Accepting new patients

Locations

9311 N FM 620 Rd
Austin, TX 78726

301 Brushy Creek Rd
Ste 106
Cedar Park, TX 78613
Phone (512) 765-9599

6217 Chapel Hill Blvd
Ste 100
Plano, TX 75093
Phone (972) 781-1244

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1982217923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 N FM 620 RD # 247",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264129",
            "telephone_number": "512-765-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRUSHY CREEK RD STE 106",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133151",
            "telephone_number": "512-765-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAESER",
        "first_name": "SUSAN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "554498",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-20142",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "554498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.