MARYLOU SANDOVAL (NPI# 1073972915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073972915 |
Entity Type | Individual |
Full Name | MARYLOU SANDOVAL |
Credential | IBCLC |
Practice Address |
3536 W San Juan Ave Phoenix AZ 85019-4514 |
Practice Telephone | 6239800347 |
Mailing Telephone | 6239800347 |
Enumeration Date | 2016-02-21 |
Last Update Date | 2016-02-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | L-29114 | AZ | Other Service Providers |
Street Address |
3536 W SAN JUAN AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85019-4514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964488 | Roger Beck Slice | Registered Nurse | 6331 N. 39th Ave., Phoenix, AZ 85019 | 2018-12-20 |
1093204687 | Patricia Enevy Gomez Jayme | Physical Therapist | 532 W Thomas Rd Suite 5, Phoenix, AZ 85019 | 2018-05-09 |
1396257762 | Shirley Ann Furlong | Licensed Practical Nurse | Alhambra School District No 68, 4510 N 37th Avenue, Phoenix, AZ 85019 | 2017-10-25 |
1508253014 | Benjamin Noel Zuniga | Dentist | 3542 W Camelback Rd, Phoenix, AZ 85019 | 2015-04-22 |
1063610475 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | Thomas & 43rd Ave, Phoenix, AZ 85019 | 2007-07-06 |
1558489575 | Beverly Beierbach Wells | Speech-Language Pathologist | 3839 W Camelback Road, Phoenix, AZ 85019 | 2007-03-27 |
1497872600 | Josefa Almanza | Speech-Language Pathologist | 4006 W Osborn Rd, Phoenix, AZ 85019 | 2007-03-23 |
1760550024 | Steven C Chang | Dentist | 3608 W Camelback Rd, Phoenix, AZ 85019 | 2006-12-02 |
1891723623 | George Figueroa | Obstetrics & Gynecology | 3660 W. Bethany Home Road, Suite A, Phoenix, AZ 85019 | 2006-06-29 |
1881169704 | Janice Jinju Kim | Dentist | 3608 W Camelback Rd, Phoenix, AZ 85019 | 2018-10-07 |
Find all providers in zip 85019 |
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 |
---|---|---|---|---|
1033653456 | Carol Kidd | Lactation Consultant, Non-RN | 3424 W Tanya Trl, Phoenix, AZ 85086-4328 | 2016-12-05 |
1508319054 | Holistic Lactation LLC | Lactation Consultant, Non-RN | 4717 N 33rd Pl, Phoenix, AZ 85018-3316 | 2016-08-02 |
1093144347 | Kerri Christie | Lactation Consultant, Non-RN | 17806 N 34th Way, Phoenix, AZ 85032-1213 | 2013-11-07 |
1407285877 | Marissa Honey-jones | Lactation Consultant, Non-RN | 2543 W Old Paint Trl, Phoenix, AZ 85086-5600 | 2013-11-06 |
1639423858 | Estrella Zermeno | Lactation Consultant, Non-RN | 3620 N 6th Ave, Apt 109w, Phoenix, AZ 85013-3765 | 2012-11-09 |
1366952657 | Ann Bennett | Lactation Consultant, Non-RN | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2017-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894379 | Rhegan Riane Derfus | Lactation Consultant, Non-RN | 3865 Barraco Dr, Sierra Vista, AZ 85650-4211 | 2020-05-28 |
1366072266 | Mirishka Elizabeth Gill | Lactation Consultant, Non-RN | 139 N 85th Pl, Mesa, AZ 85207-8669 | 2020-01-19 |
1063073963 | Heather Marie Evans | Lactation Consultant, Non-RN | 9233 E Neville Ave Unit 1112, Mesa, AZ 85209-1511 | 2019-06-22 |
1639642861 | Emily Barnes | Lactation Consultant, Non-RN | 285 N Kenneth Pl, Chandler, AZ 85226-2944 | 2019-01-10 |
1699269878 | Sarah Grace Clay | Lactation Consultant, Non-RN | 8400 S Kyrene Rd Ste 125, Tempe, AZ 85284-2172 | 2018-06-20 |
1437670635 | Kimberly Dawn Moore-salas | Lactation Consultant, Non-RN | 8400 S Kyrene Rd Ste 126, Tempe, AZ 85284-2172 | 2017-06-28 |
1043764582 | Anna Elizabeth Neuman Singleton | Lactation Consultant, Non-RN | 3445 N King St, Flagstaff, AZ 86004-2027 | 2016-08-13 |
1013374230 | Cynthia Lafferty | Lactation Consultant, Non-RN | 21120 E Stirrup St, Queen Creek, AZ 85142-6524 | 2016-01-19 |
1396101077 | Trine Bradshaw | Lactation Consultant, Non-RN | 9709 E Impala Ave, Mesa, AZ 85209-7044 | 2016-01-11 |
1295191559 | Asa Lader | Lactation Consultant, Non-RN | 3524 E Calle Del Prado, Tucson, AZ 85716-5021 | 2016-01-01 |
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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.