Individual provider Active NPI

Linda Michelle Bryant-Daaka, IBCLC

  • Lactation Consultant (Non-RN)
  • Vancouver, WA
National Provider Identifier
1982959912
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11195173 Issued in MD
Practice address
12901 NE 28TH St
Apt Nn274
Vancouver, WA 98682-1288
Phone
(240) 270-3166
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 11195173 MD Primary
Lactation Consultant (Non-RN) 174N00000X 11195173 NJ
Doula 374J00000X

Addresses

Primary practice location

12901 NE 28TH St
Apt Nn274
Vancouver, WA 98682-1288

Mailing address

12901 NE 28TH St
Apt Nn274
Vancouver, WA 98682
Phone (240) 270-3166

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

State licenses

LicenseStateTypeSpecialty
11195173MDMDLactation Consultant (Non-RN)
11195173NJMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1982959912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 NE 28TH ST",
            "address_2": "APT NN274",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98682",
            "telephone_number": "240-270-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 NE 28TH ST",
            "address_2": "APT NN274",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986821288",
            "telephone_number": "240-270-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT-DAAKA",
        "first_name": "LINDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MD",
            "license": "11195173",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NJ",
            "license": "11195173",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.