LACTATION CONSUTANT ON THE GO LLC (NPI# 1679113021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679113021 |
| Entity Type | Organization |
| Organization Name | LACTATION CONSUTANT ON THE GO LLC |
| Practice Address |
220 Vista Del Rey Dr Vado NM 88072-7236 |
| Practice Telephone | 5752333240 |
| Mailing Telephone | 5752333240 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | DEBORAH STAFFORD (CEO) |
| Authorized Official Telephone | 5752333240 |
| Authorized Official Credential | RN, IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
Nursing Service Providers |
| Street Address |
220 VISTA DEL REY DR |
| City | VADO |
| State | NM |
| Zip Code | 88072-7236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104159466 | Patrick Harry Stafford | Counselor | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2009-09-17 |
| 1982253902 | Deborah Stafford | Registered Nurse | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981868 | Maira A Gaytan Ortega | Behavior Technician | 222 Swannack Rd, Vado, NM 88072 | 2018-11-21 |
| 1972014793 | A Safe Haven | Community/Behavioral Health | 16201 Las Alturas Dr Spc 5, Vado, NM 88072-7217 | 2017-10-19 |
| 1134575962 | Elizabeth Hartshorn | Registered Nurse | 330 Holguin Rd, Vado, NM 88072-7220 | 2016-05-11 |
| 1447809108 | Teresa R Marquez | Speech-Language Pathologist | 330 Holguin Rd, Vado, NM 88072-7220 | 2019-09-05 |
| 1194229369 | Vanessa R Torres | Registered Nurse | 330 Holguin Rd, Vado, NM 88072-7220 | 2018-03-21 |
| 1952850307 | Ivonne Olson Penuela | Speech-Language Pathologist | 330 Holguin Rd, Vado, NM 88072-7220 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981868 | Maira A Gaytan Ortega | Behavior Technician | 222 Swannack Rd, Vado, NM 88072 | 2018-11-21 |
| 1972014793 | A Safe Haven | Community/Behavioral Health | 16201 Las Alturas Dr Spc 5, Vado, NM 88072-7217 | 2017-10-19 |
| 1134575962 | Elizabeth Hartshorn | Registered Nurse | 330 Holguin Rd, Vado, NM 88072-7220 | 2016-05-11 |
| 1447809108 | Teresa R Marquez | Speech-Language Pathologist | 330 Holguin Rd, Vado, NM 88072-7220 | 2019-09-05 |
| 1194229369 | Vanessa R Torres | Registered Nurse | 330 Holguin Rd, Vado, NM 88072-7220 | 2018-03-21 |
| 1952850307 | Ivonne Olson Penuela | Speech-Language Pathologist | 330 Holguin Rd, Vado, NM 88072-7220 | 2016-09-27 |
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253902 | Deborah Stafford | Registered Nurse | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1891343547 | Christine Reecer | Registered Nurse | 1812 Paige Pl Ne, Albuquerque, NM 87112-4747 | 2019-08-27 |
| 1831619840 | Lynda Miller | Registered Nurse | 9605 Desert Mountain Rd Ne, Albuquerque, NM 87122-3614 | 2017-06-21 |
| 1073046405 | Gloria Viera | Registered Nurse | 5224 Ironwood Dr Nw, Albuquerque, NM 87114-4628 | 2017-04-03 |
| 1972926962 | Kimberly Renee Lusk | Registered Nurse | 5011 Apache Hills Dr, Roswell, NM 88201-9484 | 2014-01-27 |
| 1710329768 | Heather Christine Powell | Registered Nurse | 4332 Sandstone Dr, Clovis, NM 88101-1059 | 2013-07-18 |
| 1982914487 | Cassaundra Renea Jah | Registered Nurse | 176 Pinon Trl, Cedar Crest, NM 87008-9457 | 2010-10-18 |
| 1285148072 | Teresa Paez | Registered Nurse | 4705 Montgomery Blvd Ne Ste 105, Albuquerque, NM 87109-1246 | 2017-12-01 |
| 1467877597 | Barbara Pratt | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2014-02-26 |
| 1922438092 | Stephanie Sanchez | Registered Nurse | 5150 Journal Center Blvd Ne, 1st Floor Women's Health, Albuquerque, NM 87109-5900 | 2013-11-26 |
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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.