Michelle Ruby Anthonio, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-150024 Issued in NU

Practice address

7447 Walling LN
Dallas, TX 75231-7337

Phone

(469) 740-4448

NPI assigned

Jan 16, 2019

Last updated

Mar 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Imma Lactation, LLC

  • Lactation Consultant (Non-RN)
  • Los Angeles, CA
  • NPI 1619685583

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1255805875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 14TH ST APT 416",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045380",
            "telephone_number": "469-740-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 WALLING LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317337",
            "telephone_number": "469-740-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONIO",
        "first_name": "MICHELLE",
        "middle_name": "RUBY",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-150024",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Anshasi, M.D.
• Anshi Health LLC (Rejuvena Pelvic Institute Physical Therapy and Wellness)
• Katherine Leigh Ansley, MA, LPC
• Osama Antar, MD
• Gameli Anthonio
• Anthony Chapman OD, PA (Master Eye Associates)
• Anthony J O'Connell, M.D., P.a.
• Anthony James Brown MD
• Deborah Kaye Anthony, NP
• Janet Guy Anthony, L.P.C.

• Lactation Consultant (Non-RN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Lactation Consultant (Non-RN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.