Angela Tatum Malloy

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

131 Hay St Ste 201
Fayetteville, NC 28301-6105

Phone

(910) 764-8314

NPI assigned

Jul 7, 2015

Last updated

Jan 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fayetteville Breastfeeding Center Inc

  • Lactation Consultant (Non-RN)
  • Fayetteville, NC
  • NPI 1053941971

  Lactation Consultant, Non-RN

  NPD
• Mommas Village Fayetteville Inc

  • Lactation Consultant (Non-RN)
  • Fayetteville, NC
  • NPI 1528655487

  Lactation Consultant, Non-RN

  NPD

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1447633615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HAY ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016105",
            "telephone_number": "910-764-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HAY ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016105",
            "telephone_number": "910-764-8314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Cokefield Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283069017",
            "country_code": "US",
            "telephone_number": "910-797-5976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATUM MALLOY",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Tate
• Carstelina Tate
• Eliana Leatrice Tate
• Jesse Wayne Tate, DO
• Andrea West Tatman, CCC-SLP
• Za'Vette Mignon Tatum-Kodzai, MD
• Tihara Aynaara Taverner, LCSWA
• Chioma Ohiri Tawose, FNP-BC
• Shirley Evon Taybron, MED. NBCC LCMHC-S
• Emi Denise Taylor Hewitt, CAA

• Lactation Consultant (Non-RN) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Lactation Consultant (Non-RN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.