Active NPI
Anjelica R Malone, CPM, IBCLC
- Lactation Consultant (Non-RN)
- Isabela, PR
National Provider Identifier
1427146893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-315712
- Practice address
- Carr. 446 KM 17
Isabela, PR 00662 - Phone
- (206) 551-0463
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 24, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Midwife | 176B00000X | NU | ||
| Lactation Consultant (Non-RN) | 174N00000X | L-315712 | NU | Primary |
Addresses
Primary practice location
Carr. 446 KM 17
Isabela, PR 00662
Mailing address
114 Ruta 4
Isabela, PR 00662-4758
Phone (206) 853-9107
Other practice location 1
14500 Juanita Dr NE
Kenmore, WA 98028-4966
Phone (425) 602-3000
Other practice location 2
U S Coast Guard
2100 2ND St SW, Suite 5314
Washington, DC 20593-0001
Phone (843) 308-9636
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1427146893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 RUTA 4",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624758",
"telephone_number": "206-853-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 446 KM 17",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "206-551-0463"
}
],
"practiceLocations": [
{
"address_1": "14500 Juanita Dr NE",
"address_purpose": "LOCATION",
"city": "Kenmore",
"state": "WA",
"postal_code": "980284966",
"country_code": "US",
"telephone_number": "425-602-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "U S Coast Guard",
"address_2": "2100 2ND ST SW, SUITE 5314",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "205930001",
"country_code": "US",
"telephone_number": "843-308-9636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "ANJELICA",
"middle_name": "R",
"credential": "CPM, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NU",
"license": "L-315712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.