Individual provider Active NPI

Jane Elizabeth Mitchell, LACTATION CONSULTANT

  • Lactation Consultant (Non-RN)
  • Owens Cross Roads, AL
National Provider Identifier
1629853569
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-31348 Issued in AL
Practice address
2924 Hampton Cove Way SE
Owens Cross Roads, AL 35763-9330
Phone
(256) 527-0285
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-31348 AL Primary

Addresses

Primary practice location

2924 Hampton Cove Way SE
Owens Cross Roads, AL 35763-9330

Mailing address

2924 Hampton Cove Way SE
Owens Cross Roads, AL 35763-9330
Phone (256) 527-0285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L-31348ALMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Cuddly Koala Lactation Consultant Services LLC Lactation Consultant, Non-RN CurrentSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1629853569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 HAMPTON COVE WAY SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639330",
            "telephone_number": "256-527-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 HAMPTON COVE WAY SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639330",
            "telephone_number": "256-527-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "credential": "LACTATION CONSULTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AL",
            "license": "L-31348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.