Mississippi Breastfeeding Medicine Clinic, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MISSISSIPPI BREASTFEEDING MEDICINE CLINIC, PLLC

Practice address

111A Depot Dr
Madison, MS 39110-9395

Phone

(601) 898-7979

Fax

(601) 898-7989

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca B Saenz, MDNPI 1508999178

Title

Owner

Phone

(601) 898-7979

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Rebecca Buchanan Saenz, MD, IBCLC, FABM

  • Family Medicine Physician
  • Madison, MS
  • NPI 1508999178
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487852992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1538",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391301538",
            "telephone_number": "601-898-7979",
            "fax_number": "601-898-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111A DEPOT DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109395",
            "telephone_number": "601-898-7979",
            "fax_number": "601-898-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI BREASTFEEDING MEDICINE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-898-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09985283",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115032",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Thompson Miller, OT
• James Ryan Miller, D.C.
• Anna L Minga, OT
• Mississippi ASC JV LLC
• Mississippi Baptist Surgery Center LLC
• Mississippi Center for Advanced Medicine PC
• Mississippi Center for Advanced Medicine, PC
• Mississippi Center for Advanced Medicine, PC
• Mississippi CVS Pharmacy, L.L.C
• Mississippi CVS Pharmacy, L.L.C.

• Medical Specialty Clinic/Center in Madison, MS
• Providers in Madison, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.