Active NPI
Alison Grady, IBCLC, RLC, DSII
- Lactation Consultant (Non-RN)
- Albuquerque, NM
National Provider Identifier
1992117576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 55979
- Practice address
- 8812 Gutierrez Rd NE
Albuquerque, NM 87111-2325 - Phone
- (505) 414-7392
- NPI assigned
- May 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 55979 | NM | Primary |
Addresses
Primary practice location
8812 Gutierrez Rd NE
Albuquerque, NM 87111-2325
Mailing address
8812 Gutierrez Rd NE
Albuquerque, NM 87111-2325
Phone (505) 414-7323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| # L-17110 | Other | NM | IBCLE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55979 | NM | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1992117576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8812 GUTIERREZ RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112325",
"telephone_number": "505-414-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8812 GUTIERREZ RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112325",
"telephone_number": "505-414-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "ALISON",
"name_prefix": "Mrs.",
"credential": "IBCLC, RLC, DSII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NM",
"license": "55979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBCLE",
"identifier": "# L-17110",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.