Active NPI
Cariann Wood
- Lactation Consultant (Non-RN)
- Yaphank, NY
National Provider Identifier
1386359529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 2EC447A06A
- Practice address
- 95 Horseblock Rd
Yaphank, NY 11980-2301 - Phone
- (631) 875-0272
- NPI assigned
- Jan 23, 2023
- 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 | 2EC447A06A | MD | Primary |
Addresses
Primary practice location
95 Horseblock Rd
Yaphank, NY 11980-2301
Mailing address
78 Marcella Dr
Mastic, NY 11950-1109
Phone (631) 875-0272
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://MamandTots.intakeq.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 2EC447A06A | MD | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1386359529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 MARCELLA DR",
"city": "MASTIC",
"state": "NY",
"postal_code": "119501109",
"telephone_number": "631-875-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 HORSEBLOCK RD",
"city": "YAPHANK",
"state": "NY",
"postal_code": "119802301",
"telephone_number": "631-875-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CARIANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "MD",
"license": "2EC447A06A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://MamandTots.intakeq.com",
"affiliation": "N",
"endpointDescription": "Secure Portal: PracticeQ",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "95 Horseblock Rd",
"city": "Yaphank",
"state": "NY",
"country_code": "US",
"postal_code": "119802301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yaphank, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.