Miladis Presbery, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

302097 Issued in PA

Practice address

3340 Saint Vincent St
Philadelphia, PA 19149-1624

Phone

(267) 736-9636

NPI assigned

Feb 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rooted Maternal Wellness LLC

  • Lactation Consultant (Non-RN)
  • Mount Laurel, NJ
  • NPI 1003651449

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1255925228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 SAINT VINCENT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491624",
            "telephone_number": "267-736-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 SAINT VINCENT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491624",
            "telephone_number": "267-736-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESBERY",
        "first_name": "MILADIS",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "PA",
            "license": "302097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Caleb Prenner, MD
• Stacey Beth Prenner, MD
• Stuart Barry Prenner, MD
• Anna Jenne Prentice, MS
• Mariah Presbery, MD
• Tina Presbery, LPC, RN, CAADC
• Presbyterian Medical Center of the University of Pennsylvania Health S
• Presbyterian Medical Center of the University of Pennsylvania Health S
• Presbyterian Medical Center of the University of Pennsylvania Health S
• Presbyterian Medical Center of the University of Pennsylvania Health S

• Lactation Consultant (Non-RN) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Lactation Consultant (Non-RN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.