MINDFUL LACTATION EDUCATION, LLC (NPI# 1679174148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679174148 |
| Entity Type | Organization |
| Organization Name | MINDFUL LACTATION EDUCATION, LLC |
| Practice Address |
213 Russell Ct Canton GA 30115-2918 |
| Practice Telephone | 4705339119 |
| Mailing Telephone | 4705339119 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | JENNIFER MICHELLE FOSTER (OWNER/OPERATOR) |
| Authorized Official Telephone | 4705339119 |
| Authorized Official Credential | CD, IBCLC, RLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 2083C0008X |
Preventive Medicine Specialization: Clinical Informatics |
Allopathic & Osteopathic Physicians | ||
| N | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
Ambulatory Health Care Facilities | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
213 RUSSELL CT |
| City | CANTON |
| State | GA |
| Zip Code | 30115-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275870172 | Jennifer Michelle Foster | Counselor | 213 Russell Ct, Canton, GA 30115-2918 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609321371 | Jessica Page | Health Educator | 2100 38th St Nw, Canton, OH 44709-2312 | 2016-08-23 |
| 1659785392 | Juan Aurelio Lucero | Health Educator | 4101 S Canton Center Rd, Canton, MI 48188-2489 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201085 | Patricia Yates-rand | Health Educator | 2101 Albany St, Brunswick, GA 31520-5850 | 2020-09-30 |
| 1225642523 | Melissa Hounshell | Health Educator | 423 Georgia Ave Se Apt 201, Atlanta, GA 30312-3163 | 2020-09-03 |
| 1346851458 | Melanie N Prasad-dehaney | Health Educator | 2150 Indian Ivey Ln, Dacula, GA 30019-3303 | 2020-08-12 |
| 1154949014 | Tonya Obryan | Health Educator | 123 Glynn Addy Dr, Stockbridge, GA 30281-7639 | 2020-07-08 |
| 1861011850 | Meghan Meredith | Health Educator | 2000 Westwood Cir Se, Smyrna, GA 30080-5851 | 2020-04-10 |
| 1730715806 | Ashia James | Health Educator | 484 E Valley Rd Ne, Rydal, GA 30171-1674 | 2020-03-20 |
| 1366078628 | Raul Enrique Hiteshew | Health Educator | 16285 Laconia Ln, Alpharetta, GA 30004-2700 | 2020-03-19 |
| 1477185197 | Allen Henderson | Health Educator | 152 Arlington Ct, Newnan, GA 30263-2970 | 2020-02-11 |
| 1598309270 | Dana Melvin | Health Educator | 639 Metromont Rd Ste A, Hiram, GA 30141-2805 | 2019-11-05 |
| 1659927408 | Corine Godfrey Walker | Health Educator | 1364 Tucker Rd, Moultrie, GA 31768-8305 | 2019-08-16 |
| Find all providers with the same taxonomy | ||||
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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.