Rachel Martinez, CLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Englewood, TN

NPI 1083064489 · NPPES record last updated Jun 16, 2016

Key facts

NPI
1083064489
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
Practice address
113 County Road 584
Englewood, TN 37329-5101
Phone
(423) 435-3184
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Lactation LLC Lactation Consultant, Non-RN Current
since May 28, 2023
Accepting new patients
Lactation Consultants of America Lactation Consultant, Non-RN Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X Yes

Addresses

Primary practice location

113 County Road 584
Englewood, TN 37329-5101

Mailing address

113 County Road 584
Englewood, TN 37329-5101
Phone (423) 435-3184

Other providers in Englewood, TN

All providers in Englewood, TN · Lactation Consultant (Non-RN) in Tennessee

Sources for this page

Verify at the official NPI Registry.