Individual provider Active NPI

Emily Bombard

  • Lactation Consultant (Registered Nurse)
  • Greenland, NH
National Provider Identifier
1992163265
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
055979-21 Issued in NH
Practice address
10 Drake Dr
Greenland, NH 03840-2112
Phone
(603) 828-7089
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 055979-21 NH Primary

Addresses

Primary practice location

10 Drake Dr
Greenland, NH 03840-2112

Mailing address

10 Drake Dr
Greenland, NH 03840-2112

Other identifiers 2

IdentifierTypeStateIssuer
055979-21OtherNEW HAMPSHIRE BOARD OF NURSING
L-20911OtherIBLCE

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
055979-21NHMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1992163265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DRAKE DR",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DRAKE DR",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402112",
            "telephone_number": "603-828-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBARD",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NH",
            "license": "055979-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW HAMPSHIRE BOARD OF NURSING",
            "identifier": "055979-21",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBLCE",
            "identifier": "L-20911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.