JOANNA MATA (NPI# 1285148700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285148700 |
| Entity Type | Individual |
| Full Name | JOANNA MATA |
| Credential | IBCLC |
| Practice Address |
15303 Huebner Rd Ste 15 San Antonio TX 78248-0983 |
| Mailing Address |
Breastfeeding Housecalls and Lactation Clinic, LLC Po Box 16167 San Antonio TX 78212 |
| Practice Telephone | 2106461570 |
| Practice Fax Number | 2819250648 |
| Mailing Telephone | 2106461570 |
| Mailing Fax Number | 2819250648 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-28405 | TX | Other Service Providers |
| Street Address |
15303 HUEBNER RD STE 15 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78248-0983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982697561 | Robert Jean Ferry Jr. | Pediatrics | 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 | 2005-08-29 |
| 1629675483 | Fuel for Life, LLC | Dietitian, Registered | 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 | 2020-10-05 |
| 1477055127 | Kay Gritzke Banus | Registered Nurse | 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 | 2018-03-07 |
| 1174038723 | Vicki Baillon | Registered Nurse | 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 | 2017-12-05 |
| 1417222977 | Laura M Gruber | Lactation Consultant, Non-RN | 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 | 2012-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013443142 | Sarah Treat | Dietitian, Registered | 16535 Huebner, Suite 112, San Antonio, TX 78248 | 2017-05-10 |
| 1619351541 | Inmotion Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 15303 Huebner Rd., Bldg. 8, San Antonio, TX 78248 | 2015-07-09 |
| 1952707721 | Mary Ruesewald | Nurse Practitioner | 1150 Northwest Loop1604, San Antonio, TX 78248 | 2014-11-06 |
| 1538402672 | Luis Sergio Cardenas II | Nurse Practitioner | 16601 Huebner Road, San Antonio, TX 78248 | 2013-03-27 |
| 1225330004 | Saul Haskell Rosenthal | Psychiatry & Neurology | 14787 Cadillac Drive, San Antonio, TX 78248 | 2010-11-30 |
| 1609181833 | Thomas Charles Stehling | Pharmacist | 1150 Nw Loop 1604, San Antonio, TX 78248 | 2010-08-12 |
| 1366772329 | Allison M Luellen | Nurse Anesthetist, Certified Registered | 15 Marella Dr, San Antonio, TX 78248 | 2010-01-13 |
| 1740510718 | Gloria Sr John | Home Health | 2330 Winning Colors, San Antonio, TX 78248 | 2010-01-13 |
| 1831338318 | Julie Ann Cripps | Speech-Language Pathologist | 14215 Cavalcade, San Antonio, TX 78248 | 2009-02-06 |
| 1669647806 | Alhashmin A Murji | Family Medicine | 16675 Huebner Rd Ste 210, San Antonio, TX 78248 | 2008-04-29 |
| Find all providers in zip 78248 | ||||
| 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 |
|---|---|---|---|---|
| 1295371912 | Dawna Marie Mangrum | Lactation Consultant, Non-RN | 4734 Cedarbrook, San Antonio, TX 78238-3011 | 2019-11-18 |
| 1922654748 | Denise Rangel-holbrook | Lactation Consultant, Non-RN | 13511 Norland St, San Antonio, TX 78232-4916 | 2019-08-16 |
| 1295254845 | Breastfeeding Housecalls and Lactation Clinic, LLC | Lactation Consultant, Non-RN | 15303 Huebner Rd Bldg 15, San Antonio, TX 78248-0983 | 2017-09-14 |
| 1407259633 | The Milc Group LLC | Lactation Consultant, Non-RN | 6401 Broadway St Ste C4, San Antonio, TX 78209-4563 | 2014-10-02 |
| 1659771384 | Tina Nicole Castellanos | Lactation Consultant, Non-RN | 15310 Elm Park St, San Antonio, TX 78247-2903 | 2014-08-29 |
| 1689074841 | Ginger Main Chun | Lactation Consultant, Non-RN | 15203 Elkton Rd, San Antonio, TX 78232-3911 | 2014-08-25 |
| 1417222977 | Laura M Gruber | Lactation Consultant, Non-RN | 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 | 2012-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336253 | Dawnestel Fodeibou | Lactation Consultant, Non-RN | 3354 Strong Winds Dr, Houston, TX 77014-2862 | 2020-11-05 |
| 1225654700 | Payton Haylie Blackwood | Lactation Consultant, Non-RN | 4201 Boat Club Rd, Fort Worth, TX 76135-2602 | 2020-06-22 |
| 1457974941 | Veronica A Gaitan | Lactation Consultant, Non-RN | 2100 Jay Ave, Mcallen, TX 78504-3921 | 2020-05-19 |
| 1124657689 | Danielle Villanueva | Lactation Consultant, Non-RN | 502 Smith Street, Henderson, TX 75654 | 2020-04-06 |
| 1578199881 | Emily Fullmer Liczbinski | Lactation Consultant, Non-RN | 2753 Scenic Dr, Plano, TX 75025-4155 | 2020-03-18 |
| 1316572845 | Nia Mathis | Lactation Consultant, Non-RN | 4804 Topsey Dr, Killeen, TX 76542-6201 | 2020-03-04 |
| 1073147971 | Alyssa Nicole Peri | Lactation Consultant, Non-RN | 2301 Silver Maple Dr, Wylie, TX 75098-8443 | 2020-02-28 |
| 1366074809 | Medora Jean Hamrick | Lactation Consultant, Non-RN | 849 Layla Dr, Fate, TX 75087-0228 | 2020-02-11 |
| 1316582869 | Sarah Cuccia | Lactation Consultant, Non-RN | 6619 Lindale Manor Ct, Spring, TX 77379-8930 | 2019-11-07 |
| 1700429636 | Patricia Lorena Sanchez-anacleto | Lactation Consultant, Non-RN | 111 Ramble Ln Ste 116, Austin, TX 78745-2281 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78248 |
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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.