CARLY ELIZABETH GRACE RD, IBCLC
NPI 1770264277
Lactation Consultant, Non-RN in Fayetteville, AR

Q: What is Carly Grace's NPI number?

The NPI number for Carly Grace is 1770264277. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Carly Grace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Grace was last updated on July 27, 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.

Active since July 27, 2023

6035 W TRANSIT ST, FAYETTEVILLE, AR 72704(479) 485-1215 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carly Elizabeth Grace Rd, Ibclc NPPES

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

CARLY ELIZABETH GRACE RD, IBCLC (NPI 1770264277) is an individual lactation consultant, non-rn provider in Fayetteville, Arkansas and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1770264277

Entity TypeIndividualFemale

Primary Taxonomy174N00000X

Provider Legal NameCARLY ELIZABETH GRACECredential: RD, IBCLC

Location Address6035 W TRANSIT STFayetteville, AR 72704-5097

Mailing Address3069 N Night Heron DrFayetteville, AR 72704-5007

Phone(479) 485-1215

Sole ProprietorYes

Enumeration DateJuly 27, 2023

NPPES CertifiedJuly 27, 2023

✔ NPI 1770264277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers

Taxonomy Code174N00000X

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.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 1140 (AR)

6035 W TRANSIT ST, Fayetteville, AR 72704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALEY MAHER RN, IBCLC

Registered Nurse (Lactation Consultant)