PATRICIA A BUCKNELL (NPI# 1053513671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053513671 |
| Entity Type | Individual |
| Full Name | PATRICIA A BUCKNELL |
| Credential | IBCLC |
| Practice Address |
204 James Cir Avon Lake OH 44012-1534 |
| Practice Telephone | 4409332023 |
| Mailing Telephone | 4409332023 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
204 JAMES CIR |
| City | AVON LAKE |
| State | OH |
| Zip Code | 44012-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743352 | Wyatt Demarco Massage Therapy & Wellness Center | Massage Therapist | 690 Avon Belden Rd, 2c, Avon Lake, OH 44012 | 2019-01-04 |
| 1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
| 1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
| 1558619676 | Lindsay Stein | Counselor | 156a Lear Rd, Avon Lake, OH 44012 | 2012-08-21 |
| 1023388063 | Jennifer Lynn Dorman | Dietitian, Registered | 167 Belmar Boulevard, Avon Lake, OH 44012 | 2012-01-09 |
| 1033495338 | Jessica Rae Wyatt | Massage Therapist | 690 Avon Belden Rd Ste 2c, Avon Lake, OH 44012 | 2011-10-31 |
| 1841599248 | Robin M Hale | Counselor | 32831 Redwood Blvd, Avon Lake, OH 44012 | 2011-03-24 |
| 1265551766 | Robert Day Monroe | Podiatrist | 32118 Augusta Dr, Avon Lake, OH 44012 | 2007-03-28 |
| 1194822908 | John Secrest Pyke IIi | Dentist | 33399 Walker Rd, Suite D, Avon Lake, OH 44012 | 2006-09-20 |
| 1295842284 | Westshore Primary Care Assoc Inc | Internal Medicine | 32730 Walker Road, Building H, Avon Lake, OH 44012 | 2006-08-24 |
| Find all providers in zip 44012 | ||||
| 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 |
|---|---|---|---|---|
| 1205445483 | Fruit of The Womb Perinatal Service, LLC | Lactation Consultant, Non-RN | 3356 W 94th St, Cleveland, OH 44102-4818 | 2020-07-23 |
| 1053936575 | Laura Beth Mason | Lactation Consultant, Non-RN | 2424 Luddington Dr, Toledo, OH 43615-2563 | 2020-06-10 |
| 1992335459 | Autumn Marie Hadden | Lactation Consultant, Non-RN | 5280 Township Road 179, Cardington, OH 43315-9226 | 2020-01-23 |
| 1508415431 | Sarah Sims | Lactation Consultant, Non-RN | 23 Curtis Ave, Newark, OH 43055-6508 | 2019-09-04 |
| 1134781255 | Kaci Godbehere | Lactation Consultant, Non-RN | 1303 W Maple St Ste 105, North Canton, OH 44720-2858 | 2019-06-29 |
| 1093286981 | Hadassah Mann | Lactation Consultant, Non-RN | 2365 Section Rd, Cincinnati, OH 45237-3629 | 2018-12-17 |
| 1528536307 | Tender Beginnings LLC | Lactation Consultant, Non-RN | 6085 Summerville Ln, Liberty Twp, OH 45011-7283 | 2018-11-09 |
| 1003390725 | Beth Wilson | Lactation Consultant, Non-RN | 2958 Hanover Dr, Lima, OH 45805-2926 | 2018-09-18 |
| 1215441803 | Casey Tobik | Lactation Consultant, Non-RN | 27614 Caroline Cir Apt C, Westlake, OH 44145-1140 | 2017-11-20 |
| 1275082935 | Joellen M Noble | Lactation Consultant, Non-RN | 134 Fairview Ave, Sardinia, OH 45171-9354 | 2016-09-22 |
| 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.