Judy Hatch, R.N., M.S.N, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Hampden, MA
NPI 1104958404 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1104958404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 112069 (MA)
- Practice address
- 453 Main St
Hampden, MA 01036-9682 - Phone
- (413) 532-9446
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112069 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 112069 | MA | Yes |
Addresses
Primary practice location
453 Main St
Hampden, MA 01036-9682
Mailing address
PO Box 96
Hampden, MA 01036-0096
Phone (413) 566-3635
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1529994 | Medicaid | MA |
Other providers in Hampden, MA
- Jessica Lee Dagenais
- Cynthia L Forte
- Cynthia M Galavotti
- Kamilla Gamidova
- Valerie Gonzalez
- John Raleigh Hennessy
- Integrative Bodyworks Physical Therapy LLC
- Amanda Klink
- Kristina Milik Kowalski
- Danielle Love Lawrence
All providers in Hampden, MA · Lactation Consultant (Registered Nurse) in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.