LISA BROUGHTON (NPI# 1245772441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245772441 |
Entity Type | Individual |
Full Name | LISA BROUGHTON |
Credential | IBCLC |
Practice Address |
4478 Pitch Pine Ct Concord CA 94521-4406 |
Practice Telephone | 9253232627 |
Mailing Telephone | 9253232627 |
Enumeration Date | 2016-11-06 |
Last Update Date | 2016-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | IBCLC | L-16437 | 01 |
Street Address |
4478 PITCH PINE CT |
City | CONCORD |
State | CA |
Zip Code | 94521-4406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184169229 | Bronze Owl LLC | Non-emergency Medical Transport (VAN) | 1424 Cape Cod Way, Concord, CA 94521 | 2016-12-28 |
1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
1326436387 | Yolanda Rosemarie Overton | Counselor | 2191 Kirker Pass Road, Concord, CA 94521 | 2014-12-29 |
1174872063 | Clayton Valley Charter High School | Local Education Agency (LEA) | 1101 Alberta Way, Concord, CA 94521 | 2012-09-06 |
1720365026 | Danielle Liane Allen | Occupational Therapist | 4367 Concord Blvd., Concord, CA 94521 | 2011-11-15 |
1003095951 | Bita Louise Matin | Dentist | 1494 Balhan Dr, Concord, CA 94521 | 2007-10-29 |
1265567333 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4118 Phoenix St, Concord, CA 94521 | 2007-02-22 |
1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
1407918576 | Horace Joseph Beach | Psychologist | 1460 Washington Blvd Ste C-6, Concord, CA 94521 | 2006-12-15 |
Find all providers in zip 94521 |
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 |
---|---|---|---|---|
1700433117 | Amanda Jo Howell | Lactation Consultant, Non-RN | 5307 Kim St Sw, Concord, NC 28027-3905 | 2019-08-20 |
1811407984 | Araceli J Trejo | Lactation Consultant, Non-RN | 2355 Stanwell Cir, Concord, CA 94520-4806 | 2017-10-03 |
1669712485 | Celina I Dykstra | Lactation Consultant, Non-RN | 9a Pine St, Concord, NH 03301-3828 | 2013-02-15 |
1033739669 | Eva Zendejas Vera | Lactation Consultant, Non-RN | 2355 Stanwell Cir, Concord, CA 94520-4806 | 2020-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154922722 | Ashley Elizabeth Tehrani | Lactation Consultant, Non-RN | 3722 Arnold Ave Apt 5, San Diego, CA 92104-3481 | 2020-11-02 |
1760083216 | Teresa Marie Peters | Lactation Consultant, Non-RN | 1120 S Santa Anita Ave Apt A, Arcadia, CA 91006-4029 | 2020-11-02 |
1982203667 | Paula Conriquez | Lactation Consultant, Non-RN | 6230 Drop Off Rd, Pollock Pines, CA 95726-9633 | 2020-10-22 |
1265031397 | Arabella Hancock | Lactation Consultant, Non-RN | 1038 Rose Ave, Pasadena, CA 91107-1867 | 2020-10-20 |
1194331314 | Madison Benstead | Lactation Consultant, Non-RN | 26672 Fino Ct, Redlands, CA 92373-4318 | 2020-09-22 |
1952917189 | Kayla Benado | Lactation Consultant, Non-RN | 4653 California Blvd, Santa Maria, CA 93455-4158 | 2020-09-22 |
1376152835 | Rebecca Howell | Lactation Consultant, Non-RN | 4811 N Bellflower Blvd, Long Beach, CA 90808-1121 | 2020-07-30 |
1740898659 | Heidi Burke-pevney | Lactation Consultant, Non-RN | 1808 Sheridan Way, San Marcos, CA 92078-0929 | 2020-07-16 |
1942828140 | Megan Zoe Barrett | Lactation Consultant, Non-RN | 49 Bonita Ave, Piedmont, CA 94611-3947 | 2020-07-14 |
1225659840 | Antonina Proshak | Lactation Consultant, Non-RN | 811 Grand Ave Ste A1, Sacramento, CA 95838-3466 | 2020-05-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on LISA BROUGHTON.
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.