REBECCA GRAVENOR (NPI# 1356976906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356976906 |
| Entity Type | Individual |
| Full Name | REBECCA GRAVENOR |
| Credential | IBCLC |
| Practice Address |
8077 Baptist Church Rd Mardela Springs MD 21837-2421 |
| Mailing Address |
Po Box 316 Mardela Springs MD 21837-0316 |
| Practice Telephone | 4435236373 |
| Practice Fax Number | 4433541853 |
| Mailing Telephone | 4435236373 |
| Mailing Fax Number | 4433541853 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-134914 | MD | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2324 N Zion Rd Ste 111, Salisbury, MD 218012574 | 4439448891 |
| Street Address |
8077 BAPTIST CHURCH RD |
| City | MARDELA SPRINGS |
| State | MD |
| Zip Code | 21837-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932545688 | Amy Jo Spicer | Physical Therapist | 9375 Riggin Rd, Mardela Springs, MD 21837 | 2013-05-21 |
| 1255362968 | Mardela Springs Volunteer Fire Company Incorporated | Ambulance | 101 Station St, Mardela Springs, MD 21837 | 2006-07-05 |
| 1881618254 | Brenda Jill Fischel | Counselor | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2006-07-27 |
| 1447894688 | Tiffany Lyn Barry | Counselor | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2019-10-31 |
| 1225697808 | Stephanie Vlahos | Social Worker | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2019-06-07 |
| 1952873770 | Joseph Raymond Knight | Social Worker | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2018-12-18 |
| 1669971040 | Cassidy Bret Dolby | Social Worker | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2018-02-12 |
| 1346767597 | Zebrina Rhem | Social Worker | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2017-08-28 |
| 1902322605 | Samantha Kurtz | Counselor | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2017-08-15 |
| 1780134486 | Maple Shade Youth and Family Services, Inc. | Respite Care | 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | 2016-10-06 |
| Find all providers in zip 21837 | ||||
| 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 |
|---|---|---|---|---|
| 1144853896 | Kathleen Terese Butler | Lactation Consultant, Non-RN | 7207 Antock Pl, Upper Marlboro, MD 20772-4305 | 2020-02-20 |
| 1003456658 | Laurel Cahill | Lactation Consultant, Non-RN | 13518 Osprey Ln, Solomons, MD 20688-4007 | 2020-01-12 |
| 1790320869 | Melanie Elizabeth Tarr | Lactation Consultant, Non-RN | 205 Groff Rd, Millington, MD 21651-1613 | 2019-11-13 |
| 1255993598 | Leeann L. Fincham | Lactation Consultant, Non-RN | 150 Inverness Rd, Severna Park, MD 21146-1356 | 2019-07-08 |
| 1861953531 | The Breastfeeding Den, LLC | Lactation Consultant, Non-RN | 1810 Roland Ave, Baltimore, MD 21204-3529 | 2019-03-26 |
| 1396210738 | Alexandra Kennedy Webster | Lactation Consultant, Non-RN | 7972 Brightlight Pl, Ellicott City, MD 21043-7959 | 2018-10-12 |
| 1972081404 | Fiona Jardine | Lactation Consultant, Non-RN | 4512 Sheridan St, Riverdale Park, MD 20737-1049 | 2018-08-06 |
| 1174009609 | Charnise Bridgette Littles | Lactation Consultant, Non-RN | 4407 Huntchase Dr, Bowie, MD 20720-3560 | 2018-07-18 |
| 1336625854 | Potomac Birth Services, LLC | Lactation Consultant, Non-RN | 321 Radcliffe Ave, Hagerstown, MD 21740-5717 | 2018-07-17 |
| 1245749498 | Clara Marylene Annibal | Lactation Consultant, Non-RN | 838 W Pratt Street, Baltimore, MD 21201 | 2017-09-20 |
| Find all providers with the same taxonomy | ||||
| City | MARDELA SPRINGS |
| Zip Code | 21837 |
Please comment or provide details below to improve the information on REBECCA GRAVENOR.
| 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.