Active NPI
Deborah Yadegari, CLC, JD
- Lactation Consultant (Non-RN)
- Roslyn, NY
National Provider Identifier
1992127666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- ALPP43787
- Practice address
- 60 Heather Dr
Roslyn, NY 11576-2211 - Phone
- (917) 796-5501
- Fax
- (917) 456-0451
- NPI assigned
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | ALPP43787 | Primary |
Addresses
Primary practice location
60 Heather Dr
Roslyn, NY 11576-2211
Mailing address
60 Heather Dr
Roslyn, NY 11576-2211
Phone (917) 796-5501
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
- Juris Doctor
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ybreast LLC | Lactation Consultant, Non-RN | 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": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1992127666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HEATHER DR",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762211",
"telephone_number": "917-796-5501",
"fax_number": "917-456-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HEATHER DR",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762211",
"telephone_number": "917-796-5501",
"fax_number": "917-456-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADEGARI",
"first_name": "DEBORAH",
"credential": "CLC, JD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "ALPP43787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.