JESSICA EDMONDS, CLC — NPI 1710554175 (Licensed & Credentialed Lactation Consultant, Non-RN in MENANDS, NY)

CMS-1500 Box 24J / 33a • NPI

1710554175

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

174N00000X

Licensed & Credentialed Lactation Consultant, Non-RN

Box 32 Service Location & ZIP+4

1 DENNIN DR, MENANDS, NY, 12204-1203

✓ 9-Digit EDI 837 ZIP+4 (12204-1203)

Practice Phone & Referral Fax

(518) 992-6105

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710554175 (JESSICA EDMONDS, CLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710554175` (NPI-1 Individual Practitioner)
Provider / Legal Name	JESSICA EDMONDS, CLC
Plain-English Specialty	Licensed & Credentialed Lactation Consultant, Non-RN NUCC Code: `174N00000X` (Lactation Consultant, Non-RN)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1 DENNIN DR, MENANDS, NY, 12204-1203
Practice Telephone / Fax	Tel: (518) 992-6105
Administrative Mailing Address	1 DENNIN DR, MENANDS, NY, 12204-1203
Enumeration & Last Sync	Enumerated: 2021-06-04 \| CMS Record Updated: 2021-06-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1 DENNIN DR, MENANDS, NY, 12204-1203

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Plain-English Taxonomy & CMS Crosswalk (174N00000X)

What Does Taxonomy Code 174N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174N00000X translates to:
"Licensed & Credentialed Lactation Consultant, Non-RN"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Lactation Consultant, Non-RN for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JESSICA EDMONDS, CLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174N00000X` — Lactation Consultant, Non-RN Plain English: Licensed & Credentialed Lactation Consultant, Non-RN	State: MA \| License: `330912` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JESSICA EDMONDS, CLC (NPI #1710554175)