Mended & Made Well Inc.

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

MENDED & MADE WELL INC.

Practice address

9211 Amys St Apt 30
Spring Valley, CA 91977-3992

Phone

(619) 302-8691

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Latrice Marie Reid, IBCLCNPI 1497639967

Title

Chief Executive Officer

Phone

(619) 302-8691

Specialties & licenses 2

Addresses

Practitioners 1

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

• Latrice Marie Reid

  • Lactation Consultant (Non-RN)
  • Spring Valley, CA
  • NPI 1497639967

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1104654334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 AMYS ST APT 30",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773992",
            "telephone_number": "619-302-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 AMYS ST APT 30",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773992",
            "telephone_number": "619-302-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED & MADE WELL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-302-8691",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Junior McNiel Jr.
• Paula Marie McVeagh, COTA/L
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• Juan Diego Medina
• Natasha Ann Menard, OTD, OTR
• Paola Meraz
• Cathleen Alice Merziotis
• Edgar Meza
• Victoria Dina Meza
• Sephora Mferri Aplogan

• Lactation Consultant (Non-RN) in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.