Maeve Shea, IBCLC

Key facts

NPI

1497564249

Entity type

Individual (NPI type 1)

Primary specialty

Lactation Consultant (Non-RN) 174N00000X

License

L-317152 (ME)

Practice address

25 Granite St Apt 4
Portland, ME 04102-2833

Phone

(781) 264-7394

NPI assigned

Jan 6, 2025

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)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2025.

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1497564249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GRANITE ST APT 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022833",
            "telephone_number": "781-264-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GRANITE ST APT 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022833",
            "telephone_number": "781-264-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MAEVE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "ME",
            "license": "L-317152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

• David Shawkat
• Shawn Gebhardt LCPC Inc.
• Shaws Supermarkets Inc
• Frances P Shea, LMFT
• Julia Shea, MD
• Riley Osten Shea, PT, DPT
• Sarah Rebecca Shea, LCSW
• William Shea
• Christine G Sheetz, CRNA
• Miles Lewallen Sheffer, MD

All providers in Portland, ME · Lactation Consultant (Non-RN) in Maine