SAMANTHA JEAN SMITH RN IBCLC NPI 1356139570

NPI Information

  • NPI: 1356139570
  • Provider Name: SAMANTHA JEAN SMITH, RN, IBCLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 2300 N EDWARD ST
    DECATUR, IL
    ZIP 62526
  • Phone: (217) 876-3400

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NPI Details

Samantha Jean Smith, RN, IBCLC is a lactation consultant registered nurse in Decatur, IL. Samantha Jean Smith, RN, IBCLC NPI is 1356139570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2300 N EDWARD ST
DECATUR, IL
ZIP 62526-192
Phone: (217) 876-3400
Fax: (217) 876-3408

The enumeration date for this NPI number is 4/28/2025 and was last updated on 4/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WL0100XRegistered NurseLactation ConsultantL-87813ILLINOISNo
2163WL0100XRegistered NurseLactation Consultant041320969ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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