Individual provider Active NPI

Bianca Todd Wooden, IBCLC

  • Lactation Consultant (Non-RN)
  • Ocean Springs, MS
National Provider Identifier
1164924304
Registry record updated Mar 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-110692 Issued in MS
Practice address
136 Siowan Ave
Ocean Springs, MS 39564-5321
Phone
(228) 233-0686
NPI assigned
Mar 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-110692 MS Primary

Addresses

Primary practice location

136 Siowan Ave
Ocean Springs, MS 39564-5321

Mailing address

136 Siowan Ave
Ocean Springs, MS 39564-5321
Phone (228) 233-0686

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
L-110692MSMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Better Beginnings Lactation LLC Lactation Consultant, Non-RN CurrentSince Sep 29, 2024 Accepting new patients
Lactation Consultants of America Lactation Consultant, Non-RN Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520121600000",
    "number": "1164924304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SIOWAN AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645321",
            "telephone_number": "228-233-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SIOWAN AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645321",
            "telephone_number": "228-233-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODEN",
        "first_name": "BIANCA",
        "middle_name": "TODD",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-04",
        "last_updated": "2018-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MS",
            "license": "L-110692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; 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.