Individual provider Active NPI

Danielle A Freeman, LPN, IBCLC

  • Lactation Consultant (Non-RN)
  • Hamden, CT
National Provider Identifier
1003583758
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-303617 Issued in CT
Practice address
3074 Whitney Ave Ste 211
Hamden, CT 06518-2391
Phone
(203) 769-9312
Fax
(860) 809-8406
NPI assigned
Aug 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 1295075 NY
Lactation Consultant (Non-RN) 174N00000X L-303617 CT Primary

Addresses

Primary practice location

3074 Whitney Ave Ste 211
Hamden, CT 06518-2391

Mailing address

63 Bassett St FL 2
New Haven, CT 06511-1832
Phone (203) 805-8873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1295075NYMDLicensed Practical Nurse
L-303617CTMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Milkin' Melanin Lactation Services LLC Lactation Consultant, Non-RN CurrentSince Mar 12, 2024 Accepting new patients

Locations

3074 Whitney Ave
Ste 211
Hamden, CT 06518
Phone (860) 813-1848

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1003583758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BASSETT ST FL 2",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111832",
            "telephone_number": "203-805-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 WHITNEY AVE STE 211",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182391",
            "telephone_number": "203-769-9312",
            "fax_number": "860-809-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "DANIELLE",
        "middle_name": "A",
        "credential": "LPN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-29",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "1295075",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CT",
            "license": "L-303617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.