1. Home
  2. Directory
  3. Texas
  4. Moody
  5. Lactation Consultant Non Rn
  6. NPI Profile

STEPHANIE ANN BODAK NICHOLSON IBCLC
NPI 1407503717
Lactation Consultant, Non-RN in Moody, TX

Active since March 07, 2022
15047 DOVE RD, MOODY, TX 76557(254) 913-6939 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Ann Bodak Nicholson Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE ANN BODAK NICHOLSON IBCLC (NPI 1407503717) is an individual lactation consultant, non-rn provider in Moody, Texas, licensed in Texas (L-301558) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1407503717
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameSTEPHANIE ANN BODAK NICHOLSONCredential: IBCLC
Location Address15047 DOVE RDMoody, TX 76557-3160
Mailing Address15047 Dove RdMoody, TX 76557-3160 · (254) 913-6939
Phone(254) 913-6939
Sole ProprietorYes
Enumeration DateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1407503717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in TX · L-301558
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
15047 DOVE RD, Moody, TX 76557
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Bodak Nicholson's NPI number?

The NPI number for Stephanie Bodak Nicholson is 1407503717. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Stephanie Bodak Nicholson located?

Stephanie Bodak Nicholson practices at 15047 Dove Rd, Moody, TX 76557. The listed phone number is (254) 913-6939.

What is Stephanie Bodak Nicholson's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Bodak Nicholson was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.