KIRSTEN A SONNEVILLE-DOUGLASS (NPI# 1710441928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710441928 |
| Entity Type | Individual |
| Full Name | KIRSTEN A SONNEVILLE-DOUGLASS |
| Credential | IBCLC |
| Practice Address |
1703 Maddy Ln Keego Harbor MI 48320-1156 |
| Practice Telephone | 2482029771 |
| Mailing Telephone | 2482029771 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-133099 | Other Service Providers |
| Street Address |
1703 MADDY LN |
| City | KEEGO HARBOR |
| State | MI |
| Zip Code | 48320-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301158 | Suhila Cassini | Counselor | 3297 Orchard Lake Rd, Ste 107, Keego Harbor, MI 48320 | 2020-06-22 |
| 1619042777 | Julius James Sonkiss | Dentist | 3467 Orchard Lake Road, Keego Harbor, MI 48320 | 2006-11-22 |
| 1083612840 | Mohammad Nurul Amin | Family Medicine | 2157 Orchard Lake Drive, Sylvan Lake, MI 48320 | 2005-07-14 |
| 1669850830 | Kathryn Fawcett | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2015-05-08 |
| 1487843348 | Mariola Beata Vanderest | Physical Therapist | 2141 Cass Lake Rd, Suite 107, Keego Harbor, MI 48320 | 2007-10-17 |
| 1396941332 | Issam S Asad | General Practice | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-06-26 |
| 1205050994 | Ahmad M Hadied | Orthopaedic Surgery | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1427272608 | Robert Bahman Khodadadeh | Dentist | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1447336128 | Mark I Rosenberg Dds PC | Dentist | 2819 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-10-27 |
| 1609887769 | Lydia Geraldine Vitale-loeschner | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-08-11 |
| Find all providers in zip 48320 | ||||
| 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 |
| 1407310188 | Mistel De Varona | Lactation Consultant, Non-RN | 2149 E Napier Ave, Benton Harbor, MI 49022-1846 | 2019-01-26 |
| 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 | KEEGO HARBOR |
| Zip Code | 48320 |
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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.