MISTEL DE VARONA (NPI# 1407310188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407310188 |
Entity Type | Individual |
Full Name | MISTEL DE VARONA |
Credential | IBCLC |
Practice Address |
2149 E Napier Ave Benton Harbor MI 49022-1846 |
Mailing Address |
29108 Misty Pines St Dowagiac MI 49047-7751 |
Practice Telephone | 2697836225 |
Practice Fax Number | 2699268129 |
Mailing Telephone | 2697836225 |
Enumeration Date | 2019-01-26 |
Last Update Date | 2019-01-26 |
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 |
Street Address |
2149 E NAPIER AVE |
City | BENTON HARBOR |
State | MI |
Zip Code | 49022-1846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
Find all providers in zip 49022 |
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 |
---|---|---|---|---|
1093274060 | Ashley Pyrc | Lactation Consultant, Non-RN | 16502 Charles Town Dr, Linden, MI 48451-9185 | 2019-03-18 |
1710441928 | Kirsten A Sonneville-douglass | Lactation Consultant, Non-RN | 1703 Maddy Ln, Keego Harbor, MI 48320-1156 | 2019-01-22 |
1497252076 | Shonte' Smith | Lactation Consultant, Non-RN | 436 S Saginaw St Ste 300, Flint, MI 48502-1830 | 2018-04-10 |
1477058394 | Mia Korinne Roetherford | Lactation Consultant, Non-RN | 18697 Sunderland Rd, Detroit, MI 48219-2816 | 2018-03-25 |
1477079267 | Shira Johnson | Lactation Consultant, Non-RN | 4804 Cascade Rd Se, Grand Rapids, MI 49546-3721 | 2017-08-14 |
1275073744 | Gina Aiuto | Lactation Consultant, Non-RN | 18235 Marquette St, Roseville, MI 48066-3400 | 2017-03-03 |
1811436074 | Jennifer Day | Lactation Consultant, Non-RN | 26700 Emmett St, Southfield, MI 48033-3626 | 2017-02-20 |
1528501095 | Jalyn Spencer-harris | Lactation Consultant, Non-RN | 23228 Shoreview St, Saint Clair Shores, MI 48082-3020 | 2016-11-30 |
1902252778 | Susan L Denison | Lactation Consultant, Non-RN | 3228 Buchanan Ave Sw, Wyoming, MI 49548-2170 | 2016-05-10 |
1912353939 | Laura Mechele Casey-bir | Lactation Consultant, Non-RN | 10051 Farm Grove Ct Se, Caledonia, MI 49316-7715 | 2016-05-09 |
Find all providers with the same taxonomy |
City | BENTON HARBOR |
Zip Code | 49022 |
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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.