Active NPI
Joanna Mata, IBCLC
- Lactation Consultant (Non-RN)
- San Antonio, TX
National Provider Identifier
1285148700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-28405
- Practice address
- 15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983 - Phone
- (210) 646-1570
- Fax
- (281) 925-0648
- NPI assigned
- Nov 20, 2017
- Sex
- Female
- Sole proprietor
- No
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 | L-28405 | TX | Primary |
Addresses
Primary practice location
15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983
Mailing address
Breastfeeding Housecalls and Lactation Clinic, LLC
PO Box 16167
San Antonio, TX 78212
Phone (210) 646-1570
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 |
|---|---|---|---|
| L-28405 | TX | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1285148700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BREASTFEEDING HOUSECALLS AND LACTATION CLINIC, LLC",
"address_2": "PO BOX 16167",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78212",
"telephone_number": "210-646-1570",
"fax_number": "281-925-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15303 HUEBNER RD STE 15",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782480983",
"telephone_number": "210-646-1570",
"fax_number": "281-925-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATA",
"first_name": "JOANNA",
"credential": "IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "TX",
"license": "L-28405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.