Individual provider Active NPI

Lisa Kay Maize, IBCLC

  • Lactation Consultant (Non-RN)
  • Farmington Hills, MI
National Provider Identifier
1275323602
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-145779 Issued in FL
Practice address
24894 Ravine CT # 2204
Farmington Hills, MI 48335-2432
Phone
(407) 791-3455
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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 L-145779 FL Primary

Addresses

Primary practice location

24894 Ravine CT # 2204
Farmington Hills, MI 48335-2432

Mailing address

24894 Ravine CT # 2204
Farmington Hills, MI 48335-2432
Phone (407) 791-3455

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
L-145779FLMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1275323602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24894 RAVINE CT # 2204",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352432",
            "telephone_number": "407-791-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24894 RAVINE CT # 2204",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352432",
            "telephone_number": "407-791-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIZE",
        "first_name": "LISA",
        "middle_name": "KAY",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "L-145779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.