Active NPI
Pamela Diane Holland, IBCLC
- Lactation Consultant (Non-RN)
- Pooler, GA
National Provider Identifier
1184905200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 19411880
- Practice address
- 138 Royal LN
None
Pooler, GA 31322-3958 - Phone
- (912) 306-4619
- NPI assigned
- Sep 2, 2011
- Last updated
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 19411880 | GA | Primary |
Addresses
Primary practice location
138 Royal LN
None
Pooler, GA 31322-3958
Mailing address
138 Royal LN
None
Pooler, GA 31322-3958
Phone (912) 306-4619
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19411880 | GA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1184905200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 ROYAL LN",
"address_2": "NONE",
"city": "POOLER",
"state": "GA",
"postal_code": "313223958",
"telephone_number": "912-306-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 ROYAL LN",
"address_2": "NONE",
"city": "POOLER",
"state": "GA",
"postal_code": "313223958",
"telephone_number": "912-306-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "PAMELA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "GA",
"license": "19411880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
- Hilton Head Regional Physician Network - Georgia, LLC (Riverside Womens Care)
- Jo-Anna Hint
- HM RX LLC Dba Pooler Family Pharmacy
- Karli Holland, OTD, OTR/L
- Melanie Anne Holland, C.L.C.
- Hope Hand & Arm Therapy LLC
- Erin Marie Hopper, DMD
- Howard Family Dental-Pooler, LLC (Howard Family Dental - Pooler South)
- Howard Family Dental-Pooler, LLC (Howard Family Dental - Pooler North)
- Ashenna Howard, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.