Active NPI
Mother'S Magical Milk
- Lactation Consultant (Non-RN)
- Mansfield, TX
National Provider Identifier
1003515677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tenise Hordge, IBCLC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Lactation Consultant (Non-RN)
- Mansfield, TX
- NPI 1699441808
Lactation Consultant, Non-RN
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.