Individual provider Active NPI

Lindsey Lee Mulholland

  • Lactation Consultant (Non-RN)
  • Fayetteville, NC
National Provider Identifier
1235605379
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
77675 Issued in NC
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 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 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 Former name

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
77675NCMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Pediatrics of Hope Mills Past Accepting new patients
Rainbow Pediatrics of Fayetteville PastSince Jun 21, 2020 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.

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.

Verify at the official NPI Registry.