IndividualActive
Stephanie Bodak Nicholson, IBCLC
NPI 1407503717 · Lactation Consultant (Non-RN) · Moody, TX
Stephanie Bodak Nicholson, IBCLC is a Lactation Consultant (Non-RN) provider in Moody, TX (NPI 1407503717).
Provider details
- NPI number
- 1407503717
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-301558 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15047 Dove Rd
Moody, TX 76557-3160
Phone: (254) 913-6939
Street-level locationGet directions
Mailing address
15047 Dove Rd
Moody, TX 76557-3160
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Frequently asked questions
- What is Stephanie Bodak Nicholson's NPI number?
- Stephanie Bodak Nicholson's National Provider Identifier (NPI) is 1407503717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Bodak Nicholson's specialty?
- Stephanie Bodak Nicholson is listed in the NPPES registry with a primary specialty of Lactation Consultant (Non-RN) (Other Service Providers).
- Where is Stephanie Bodak Nicholson located?
- Stephanie Bodak Nicholson's practice location on file with NPPES is 15047 Dove Rd, Moody, TX 76557-3160.
- What is Stephanie Bodak Nicholson's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Bodak Nicholson is (254) 913-6939.
- Is Stephanie Bodak Nicholson's NPI active?
- Yes — Stephanie Bodak Nicholson's NPI (1407503717) is active in the NPPES registry as of the last update on 2022-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.