Celia P Clark-Randall, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

5850 Fayetteville Rd Ste 202
Durham, NC 27713-6289

Phone

(919) 480-1423

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Carolina Birth and Wellness

  • Lactation Consultant (Non-RN)
  • Durham, NC
  • NPI 1689494650

  Lactation Consultant, Non-RN

  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1982352209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30026 VILLAGE PARK DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 FAYETTEVILLE RD STE 202",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136289",
            "telephone_number": "919-480-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-RANDALL",
        "first_name": "CELIA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark & Otero DDS PLLC (Oak Grove Dental)
• Clark & Otero DDS PLLC (Dental Center at Zebulon)
• Clark Optometric Center PA (Triangle Visions Optometry)
• Clark Psychotherapy, PLLC
• Adrian Joseph Clark-Randall, MD
• Alexandria Morgan Clark, MD
• Allison Clark, LCMHC
• Annette Aldridge Clark, CPNP
• Anthony Ronald Clark, OD
• Brandy Hunter Clark, PMHNP-BC

• Lactation Consultant (Non-RN) in Durham, NC
• Providers in Durham, NC by specialty
• Lactation Consultant (Non-RN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.