Tiny Wellness LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

TINY WELLNESS LLC

Practice address

210 Polaris St Apt a
Sheppard Afb, TX 76311-4012

Phone

(860) 940-3324

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Nicole McCarthy, CLC, CBSNPI 1952927956

Title

Owner/Operator

Phone

(860) 940-3324

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole McCarthy, CLC, CBS

  • Lactation Consultant (Non-RN)
  • Sheppard Afb, TX
  • NPI 1952927956

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1396514485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 POLARIS ST APT A",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763114012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 POLARIS ST APT A",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763114012",
            "telephone_number": "860-940-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "860-940-3324",
        "authorized_official_credential": "CLC, CBS"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Matthew Stitt
• Erich Lofton Swafford, MD
• Christopher M Thibodeaux, PTA
• Angela Louise Thompson, RN
• Jeffrey Scott Thompson, D.D.S.
• Together We Talk, PLLC
• Martin Trevino, LCSW, LCDC
• Shanna Vaughan, PHARMD.
• Westley Spencer Vicente, LISW
• Scott Walker, DDS

• Lactation Consultant (Non-RN) in Sheppard Afb, TX
• Providers in Sheppard Afb, TX by specialty
• Lactation Consultant (Non-RN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.