Organization Active NPI

Mother'S Magical Milk

  • Lactation Consultant (Non-RN)
  • Mansfield, TX
National Provider Identifier
1003515677
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
MOTHER'S MAGICAL MILK
Practice address
1015 E Dallas St Ste 2
Mansfield, TX 76063-2029
Phone
(817) 405-9661
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tenise Hordge, IBCLCNPI 1699441808
Title
Owner, Operator
Phone
(817) 405-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1015 E Dallas St Ste 2
Mansfield, TX 76063-2029

Mailing address

4602 Spring Lake Pkwy
Mansfield, TX 76063-5590
Phone (480) 215-9077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1003515677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 SPRING LAKE PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635590",
            "telephone_number": "480-215-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E DALLAS ST STE 2",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632029",
            "telephone_number": "817-405-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER'S MAGICAL MILK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "HORDGE",
        "authorized_official_first_name": "TENISE",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "817-405-9661",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.