Active NPI
Lindsey Lee Mulholland
- Lactation Consultant (Non-RN)
- Fayetteville, NC
National Provider Identifier
1235605379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 77675
- Practice address
- 1327 Robeson St
Fayetteville, NC 28305-5531 - Phone
- (910) 486-5437
- Fax
- (910) 486-0011
- NPI assigned
- Oct 16, 2018
- Last updated
- Oct 16, 2018
- 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 | 77675 | NC | Primary |
Addresses
Primary practice location
1327 Robeson St
Fayetteville, NC 28305-5531
Mailing address
95 Mill Ridge CT
Godwin, NC 28344-5100
Other practice location 1
142 Paraclete Dr Ste 101
Raeford, NC 28376-9282
Phone (910) 904-0404
Other practice location 2
4469 S Main St
Hope Mills, NC 28348-9546
Phone (910) 426-5430
Other names 1
- Lindsey Lee Mangus
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 |
|---|---|---|---|
| 77675 | NC | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Pediatrics of Hope Mills | Past | Accepting new patients | |
| Rainbow Pediatrics of Fayetteville | Past | Accepting new patients | |
| Rainbow Pediatrics | Past | Accepting new patients | |
| Lactation Consultants of America | Lactation Consultant, Non-RN | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neonatal Nurse Practitioner
- Fayetteville, NC
- NPI 1699148445
-
- Pediatrics Physician
- Fayetteville, NC
- NPI 1356439566
-
- Pediatrics Physician
- Hope Mills, NC
- NPI 1164655932
-
- Lactation Consultant (Non-RN)
- Big Bear City, CA
- NPI 1740929694
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1235605379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MILL RIDGE CT",
"city": "GODWIN",
"state": "NC",
"postal_code": "283445100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 ROBESON ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055531",
"telephone_number": "910-486-5437",
"fax_number": "910-486-0011"
}
],
"practiceLocations": [
{
"address_1": "142 Paraclete Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769282",
"country_code": "US",
"telephone_number": "910-904-0404",
"fax_number": "910-904-0412",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4469 S Main St",
"address_purpose": "LOCATION",
"city": "Hope Mills",
"state": "NC",
"postal_code": "283489546",
"country_code": "US",
"telephone_number": "910-426-5430",
"fax_number": "910-426-5435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULHOLLAND",
"first_name": "LINDSEY",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NC",
"license": "77675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "MANGUS",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.