Colleen Marie Prorok, RN, MSN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

R052436 Issued in MD

Practice address

2000 Carter Mill Way
Brookeville, MD 20833-2243

Phone

(301) 774-7279

Fax

(301) 774-7279

NPI assigned

Dec 5, 2008

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1548405483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CARTER MILL WAY",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208332243",
            "telephone_number": "301-774-7279",
            "fax_number": "301-774-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CARTER MILL WAY",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208332243",
            "telephone_number": "301-774-7279",
            "fax_number": "301-774-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROROK",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "R052436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William W Nyambi
• Joseph Oscilowski
• Pepitas Wellness
• Ella Pisner, LCSW-C
• Primary DME
• Barry Stevan Raskin, M.D.
• Joann T. Shapiro, P.T.
• George Siarkas
• James Leroy Staiger, M.D.
• Marissa Ann Swamy

• Lactation Consultant (Registered Nurse) in Brookeville, MD
• Providers in Brookeville, MD by specialty
• Lactation Consultant (Registered Nurse) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.