Catherine Barry, IBCLC, RD
Individual provider Active NPI Lactation Consultant (Non-RN) · Acton, MA
NPI 1447744313 · NPPES record last updated Jun 17, 2023
Key facts
- NPI
- 1447744313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L-310853 (MA)
- Practice address
- 438 Main St
Acton, MA 01720-3810 - Phone
- (978) 621-4408
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86010485 | MA | MD | Registered Dietitian |
| L-310853 | MA | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 86010485 | MA | |
| Lactation Consultant (Non-RN) | 174N00000X | L-310853 | MA | Yes |
Addresses
Primary practice location
438 Main St
Acton, MA 01720-3810
Mailing address
128 Magazine St Apt 16
Cambridge, MA 02139-3920
Other names
- Catherine Fanning
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All providers in Acton, MA · Lactation Consultant (Non-RN) in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.