MS. IDA CAROLINE SUZANNE TRUNICK (NPI# 1558887398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558887398 |
| Entity Type | Individual |
| Full Name | MS. IDA CAROLINE SUZANNE TRUNICK |
| Other Name | MS. SUZANNE TRUNICK |
| Credential | MA, IBCLC |
| Practice Address |
1101 Camino La Costa Austin TX 78752-3930 |
| Mailing Address |
15060 Haley Holw Austin TX 78728-4454 |
| Practice Telephone | 5126841744 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IBCLE | L-35230 | 01 |
| Street Address |
1101 CAMINO LA COSTA |
| City | AUSTIN |
| State | TX |
| Zip Code | 78752-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545408 | Jeffrey Wade Hutchinson | Pediatrics | 1101 Camino La Costa, Austin, TX 78752-3930 | 2005-08-16 |
| 1811509664 | Nicollette Violante | Social Worker | 1101 Camino La Costa, Austin, TX 78752-3930 | 2020-08-21 |
| 1063022556 | Mary Quinn Fassnacht | Student in an Organized Health Care Education/Training Program | 1101 Camino La Costa, Austin, TX 78752-3930 | 2020-08-09 |
| 1801424197 | Genesis Valdes | Dietitian, Registered | 1101 Camino La Costa, Austin, TX 78752-3930 | 2020-03-31 |
| 1285270389 | Rosa Maria Frausto De Maldonado | Nurse Practitioner | 1101 Camino La Costa, Austin, TX 78752-3930 | 2019-11-23 |
| 1144874462 | Sonia Yvette Rocha | Nurse Practitioner | 1101 Camino La Costa, Austin, TX 78752-3930 | 2019-07-25 |
| 1457903221 | Alexandra Vela | Dental Hygienist | 1101 Camino La Costa, Austin, TX 78752 | 2019-07-11 |
| 1225698426 | Denise Martinez-rivas | Social Worker | 1101 Camino La Costa, Austin, TX 78752-3930 | 2019-06-19 |
| 1326517897 | Carrie Alise Torn | Social Worker | 1101 Camino La Costa, Austin, TX 78752-3930 | 2018-11-14 |
| 1922528090 | Andrew Jones | Family Medicine | 1101 Camino La Costa, Austin, TX 78752-3930 | 2017-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996807 | Jessica Wells | Social Worker | 313 East Anderson Lane, Suite 120, Austin, TX 78752 | 2019-05-08 |
| 1043702483 | Amelia Secord | Occupational Therapist | 7701 N Lamar, Suite 314, Austin, TX 78752 | 2018-06-01 |
| 1871082420 | J&w Vision Associates Pllc | Optometrist | 6929 Airport Blvd Ste 165, Austin, TX 78752 | 2018-05-08 |
| 1124539242 | The Refuge for Dmst | Counselor | 300 East Saint Johns Ave., Austin, TX 78752 | 2017-10-16 |
| 1639689441 | Sleep Cycle Center, LLC | Dentist | 7101 Easy Wind Dr Unit 3116, Austin, TX 78752 | 2017-10-06 |
| 1215458997 | Jose De Jesus Garcia-cuellar | Social Worker | 7701 N Lamar Blvd Ste 313, Austin, TX 78752 | 2017-07-03 |
| 1619415213 | Infinite Recovery LLC | Substance Abuse Rehabilitation Facility | 7517 Cameron Rd Ste #118, Austin, TX 78752 | 2017-02-03 |
| 1043756612 | Tse Transport Services | Non-emergency Medical Transport (VAN) | 7223 Creekside Drive, Austin, TX 78752 | 2017-01-06 |
| 1912442823 | Anesha Roshon Brown-morris | Massage Therapist | 6406 North Ih 35, Suite 2300, Suite 308, Austin, TX 78752 | 2016-12-31 |
| 1831540319 | Eva Dolores Sloan | Counselor | 500 East St. John's Ave, Austin, TX 78752 | 2016-06-27 |
| Find all providers in zip 78752 | ||||
| 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 |
|---|---|---|---|---|
| 1700429636 | Patricia Lorena Sanchez-anacleto | Lactation Consultant, Non-RN | 111 Ramble Ln Ste 116, Austin, TX 78745-2281 | 2019-10-23 |
| 1740744325 | Katina M Wong | Lactation Consultant, Non-RN | 10619 Pluchea Cv, Austin, TX 78733-5721 | 2019-01-28 |
| 1689161101 | Sunayana Weber | Lactation Consultant, Non-RN | 11105 Maelin Dr, Austin, TX 78739-2052 | 2018-04-19 |
| 1679923692 | Laura Ruth Lamb | Lactation Consultant, Non-RN | 7308 Bucknell Dr, Austin, TX 78723-1632 | 2016-06-21 |
| 1689033300 | Kelly Yawn Langdon | Lactation Consultant, Non-RN | 7301 Burnet Rd Ste 200, Austin, TX 78757-2250 | 2016-02-23 |
| 1710350707 | Heather Ann Buquoi-ellison | Lactation Consultant, Non-RN | 4159 Steck Ave, Unit 111, Austin, TX 78759-8585 | 2015-11-12 |
| 1174909246 | Dawn K Martin | Lactation Consultant, Non-RN | 1405 Meadgreen Cir, Austin, TX 78758-4710 | 2015-07-30 |
| 1245645910 | Kristine Keller | Lactation Consultant, Non-RN | 5208 Dry Wells Rd, Austin, TX 78749-2233 | 2014-06-21 |
| 1164835526 | Tanja Knutson | Lactation Consultant, Non-RN | 2121 Sea Eagle Vw, Austin, TX 78738-5382 | 2014-06-03 |
| 1851703029 | Jennifer Gwyn | Lactation Consultant, Non-RN | 6918 Chinook Dr, Austin, TX 78736-1802 | 2014-05-22 |
| Find all providers in AUSTIN | ||||
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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.