Active NPIIndividual provider

Miss Larisa Entin, IBCLC, RN

Registered Nurse, Lactation Consultant in Providence, Rhode Island

NPI Number1598643926
Practice location
152 University Ave, Providence, RI 02906-4514
Fax
—
Last updated
April 3, 2026

Larisa Entin is a Registered Nurse, Lactation Consultant based in Providence, RI. Larisa Entin practices in Providence, RI and has the professional credentials of IBCLC, RN. The NPI Number for Larisa Entin is 1598643926 and holds a License No. LLC00111 (RI). The current practice location address for Larisa Entin is 152 University Ave, Providence, RI 02906-4514 and can be reached out via phone at 401-450-4588.

Provider Profile Details

NPI Number
1598643926
Provider Name
Larisa Entin
Credential
IBCLC, RN
Provider Entity Type
Individual
Gender
Female
Address
152 University Ave, Providence, RI 02906-4514
Phone Number
401-450-4588
Primary Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2025
Last Update Date
April 3, 2026
Certification Date
April 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
152 University Ave
Providence, RI 02906-4514
Zip
02906-4514
Phone Number
401-450-4588
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
152 University Ave
Providence, RI 02906-4514
City
Providence
State
RI
Zip
02906-4514
Phone Number
401-450-4588

License Information

License Number
LLC00111
License State
RI
Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Larisa Entin, IBCLC, RN?

The NPI number of Miss Larisa Entin, IBCLC, RN is 1598643926. It was assigned on August 25, 2025 and is currently active in the NPPES registry.

What is the specialty of Miss Larisa Entin, IBCLC, RN?

Miss Larisa Entin, IBCLC, RN is registered under the primary taxonomy Registered Nurse, Lactation Consultant (code 163WL0100X), licensed in RI under license number LLC00111.

Where does Miss Larisa Entin, IBCLC, RN practice?

The practice location is 152 University Ave, Providence, RI 02906-4514. The office can be reached at 401-450-4588 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598643926 directly on the NPPES registry website.

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