Individual provider Active NPI

Amy Elizabeth Bohler, IBCLC

  • Lactation Consultant (Non-RN)
  • Clearwater, FL
National Provider Identifier
1992145312
Registry record updated Jun 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11176958 Issued in FL
Practice address
2816 Gloria CT
Clearwater, FL 33761-3824
Phone
(727) 231-4670
NPI assigned
Jun 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 11176958 FL Primary

Addresses

Primary practice location

2816 Gloria CT
Clearwater, FL 33761-3824

Mailing address

2816 Gloria CT
Clearwater, FL 33761-3824
Phone (727) 231-4670

Other identifiers 1

IdentifierTypeStateIssuer
11176958OtherIBCLC

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
11176958FLMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372464000000",
    "number": "1992145312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 GLORIA CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613824",
            "telephone_number": "727-231-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 GLORIA CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613824",
            "telephone_number": "727-231-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2013-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "11176958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "11176958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2013; 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.