MRS. MELISSA BRICE (NPI# 1003211079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003211079 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA BRICE |
| Credential | IBCLC, ALC |
| Practice Address |
430 Parson Rd Dallas GA 30157 |
| Practice Telephone | 4044013542 |
| Mailing Telephone | 4044013542 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L 16318 | GA | Other Service Providers |
| Street Address |
430 PARSON RD |
| City | DALLAS |
| State | GA |
| Zip Code | 30157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| 1114103686 | Christine J. Mezza | Counselor | 2260 Gold Mine Rd, Dallas, GA 30157 | 2008-01-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| 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. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255805875 | Michelle Ruby Anthonio | Lactation Consultant, Non-RN | 7447 Walling Ln, Dallas, TX 75231-7337 | 2019-01-16 |
| 1912489337 | Michelle Jennifer Bergman | Lactation Consultant, Non-RN | 549 Waburn Walk, Dallas, GA 30132 | 2018-09-01 |
| 1649725003 | Meridith Lohse | Lactation Consultant, Non-RN | 7754 Eagle Trl, Dallas, TX 75238-4115 | 2016-08-15 |
| 1376178855 | Courtney Jade Hamilton | Lactation Consultant, Non-RN | 107 Murray St, Dallas, TX 75226-1645 | 2020-03-05 |
| 1699251603 | Amelia Rose Odom | Lactation Consultant, Non-RN | 8325 Walnut Hill Ln Ste 225, Dallas, TX 75231-4263 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109140 | Darnaisha Campbell | Lactation Consultant, Non-RN | 206 Chatham St Apt B, Lagrange, GA 30240-5387 | 2020-09-21 |
| 1770193310 | Nicole Schwartz | Lactation Consultant, Non-RN | 431 Westside Dr, Roswell, GA 30075-4835 | 2020-08-07 |
| 1639799372 | Jean G Howington | Lactation Consultant, Non-RN | 4520 Bartow Carver Rd Se Apt 3, Acworth, GA 30102-2669 | 2020-04-22 |
| 1417590795 | Jennifer Marie Letzer | Lactation Consultant, Non-RN | 2202 The Vly, Sandy Springs, GA 30328-5413 | 2019-10-19 |
| 1831740026 | Napiera Loveless | Lactation Consultant, Non-RN | 4258 Duncan Ives Dr, Buford, GA 30519-7556 | 2019-09-27 |
| 1134773880 | Heather Michelle Goodbread | Lactation Consultant, Non-RN | 408 S Atlanta St Ste 155, Roswell, GA 30075-4976 | 2019-07-31 |
| 1194386201 | Pamela Juliet Campbell | Lactation Consultant, Non-RN | 403 Robinson Rd, Peachtree City, GA 30269-1861 | 2019-06-28 |
| 1952961351 | Nichole Lynn Cutrone | Lactation Consultant, Non-RN | 3635 Azurite St, Cumming, GA 30040-6096 | 2019-06-18 |
| 1194385054 | Laura Crockett | Lactation Consultant, Non-RN | 754 Virginia Cir Ne, Atlanta, GA 30306-3712 | 2019-06-13 |
| 1518432947 | Heather Hardy | Lactation Consultant, Non-RN | 109 Heritage Oaks Dr, Ball Ground, GA 30107-6307 | 2018-10-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.