LACTATION SERVICES OF WACO, LLC (NPI# 1336657212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336657212 |
| Entity Type | Organization |
| Organization Name | LACTATION SERVICES OF WACO, LLC |
| Practice Address |
1525 Austin Ave Waco TX 76701-1711 |
| Mailing Address |
2316 Gorman Ave Waco TX 76707-2862 |
| Practice Telephone | 2547531987 |
| Mailing Telephone | 2547531987 |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | TONJA DENISE CARPENTER (OWNER) |
| Authorized Official Telephone | 2547531987 |
| Authorized Official Credential | IBCLC,PCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-126587 | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS | L-126587 | 01 |
| Street Address |
1525 AUSTIN AVE |
| City | WACO |
| State | TX |
| Zip Code | 76701-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851849681 | Waco Birth Center & Clinic | Clinic/Center | 1525 Austin Ave, Waco, TX 76701-1711 | 2016-09-21 |
| 1063900769 | Amy Van Hecke | Registered Nurse | 1525 Austin Ave, Waco, TX 76701-1711 | 2018-04-27 |
| 1083122964 | Tonja Denise Carpenter | Lactation Consultant, Non-RN | 1525 Austin Ave, Waco, TX 76701-1711 | 2018-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
| 1003886003 | Elite Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701 | 2006-01-24 |
| 1740680750 | Kayleigh Anderson | Counselor | 110 S 12th St, Waco, TX 76701 | 2014-08-27 |
| 1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
| 1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
| 1407972581 | Sarah S. Allen | Marriage & Family Therapist | 110 S 12th St, Waco, TX 76701 | 2007-03-21 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| Find all providers in zip 76701 | ||||
| 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 |
|---|---|---|---|---|
| 1083122964 | Tonja Denise Carpenter | Lactation Consultant, Non-RN | 1525 Austin Ave, Waco, TX 76701-1711 | 2018-01-13 |
| 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 |
| 1295371912 | Dawna Marie Mangrum | Lactation Consultant, Non-RN | 4734 Cedarbrook, San Antonio, TX 78238-3011 | 2019-11-18 |
| 1316582869 | Sarah Cuccia | Lactation Consultant, Non-RN | 6619 Lindale Manor Ct, Spring, TX 77379-8930 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LACTATION SERVICES OF WACO, LLC.
| 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.