Individual provider Active NPI

Fallon Gabrielle Smalls, CBS

  • Lactation Consultant (Non-RN)
  • Clinton, MD
National Provider Identifier
1184346785
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
B74268C8E1 Issued in MD
Practice address
9228 Spring Acres Rd
Clinton, MD 20735-3031
Phone
(240) 462-5226
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 B74268C8E1 MD Primary

Addresses

Primary practice location

9228 Spring Acres Rd
Clinton, MD 20735-3031

Mailing address

9228 Spring Acres Rd
Clinton, MD 20735-3031
Phone (240) 462-5226

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.heybreastie.com Direct

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
B74268C8E1MDMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1184346785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 SPRING ACRES RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353031",
            "telephone_number": "240-462-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 SPRING ACRES RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353031",
            "telephone_number": "240-462-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "FALLON",
        "middle_name": "GABRIELLE",
        "name_prefix": "Mrs.",
        "credential": "CBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MD",
            "license": "B74268C8E1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.heybreastie.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9228 Spring Acres Rd",
            "city": "Clinton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207353031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.