Individual provider Active NPI

Michaela Zach, IBCLC

  • Lactation Consultant (Non-RN)
  • Chandler, AZ
National Provider Identifier
1336546274
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-55964 Issued in AZ
Practice address
2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone
(480) 406-7413
Fax
(866) 407-8595
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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-55964 AZ Primary

Addresses

Primary practice location

2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400

Mailing address

2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone (480) 406-7413

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-55964AZMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Lactation Services Lactation Consultant, Non-RN Current Accepting new patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC PastSince Oct 27, 2024 Accepting new patients

Locations

2705 S Alma School Rd
Ste 2
Chandler, AZ 85286
Phone (480) 802-1640

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1336546274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S ALMA SCHOOL RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864400",
            "telephone_number": "480-406-7413",
            "fax_number": "866-407-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S ALMA SCHOOL RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864400",
            "telephone_number": "480-406-7413",
            "fax_number": "866-407-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACH",
        "first_name": "MICHAELA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AZ",
            "license": "L-55964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.