NPIMap

Organization Active NPI

Successfully Nurtured Collective LLC

  • Lactation Consultant (Non-RN)
  • Millington, MD
National Provider Identifier
1558055426
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
SUCCESSFULLY NURTURED COLLECTIVE LLC
Practice address
205 Groff Rd
Millington, MD 21651-1613
Phone
(410) 490-1553
Fax
(410) 928-5044
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Ms. Melanie Elizabeth Marie Tarr, IBCLC, BS, CAHPENPI 1790320869
Title
Ceo/Ibclc
Phone
(410) 490-1553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

205 Groff Rd
Millington, MD 21651-1613

Mailing address

PO Box 52
Millington, MD 21651-0052
Phone (410) 656-4048

Other names 1

  • Successfully Nurtured Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1558055426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "MILLINGTON",
            "state": "MD",
            "postal_code": "216510052",
            "telephone_number": "410-656-4048",
            "fax_number": "410-928-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GROFF RD",
            "city": "MILLINGTON",
            "state": "MD",
            "postal_code": "216511613",
            "telephone_number": "410-490-1553",
            "fax_number": "410-928-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFULLY NURTURED COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ELIZABETH MARIE",
        "authorized_official_title_or_position": "CEO/IBCLC",
        "authorized_official_telephone_number": "410-490-1553",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "IBCLC, BS, CAHPE"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Successfully Nurtured",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.