1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Lactation Consultant Non Rn
  6. NPI Profile

TISA S THOMPSON-BRADLEY IBCLC
NPI 1447963400
Lactation Consultant, Non-RN in Philadelphia, PA

Active since January 04, 2023
2805 N 47TH ST APT 611, PHILADELPHIA, PA 19131(610) 609-9025 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tisa S Thompson-bradley Ibclc NPPES

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

TISA S THOMPSON-BRADLEY IBCLC (NPI 1447963400) is an individual lactation consultant, non-rn provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (L-302594) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1447963400
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameTISA S THOMPSON-BRADLEYCredential: IBCLC
Location Address2805 N 47TH ST APT 611Philadelphia, PA 19131-1569
Mailing Address2805 N 47th St Apt 611Philadelphia, PA 19131-1569 · (610) 609-9025
Phone(610) 609-9025
Sole ProprietorYes
Enumeration DateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
✔ NPI 1447963400 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 PA · L-302594
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.
2805 N 47TH ST APT 611, Philadelphia, PA 19131
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 Tisa Thompson-bradley's NPI number?

The NPI number for Tisa Thompson-bradley is 1447963400. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Tisa Thompson-bradley located?

Tisa Thompson-bradley practices at 2805 N 47th St Apt 611, Philadelphia, PA 19131. The listed phone number is (610) 609-9025.

What is Tisa Thompson-bradley'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 Tisa Thompson-bradley was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.