Mary Levin, RN, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

19613387 Issued in CO

Practice address

9094 E Mineral Cir Ste 120
Centennial, CO 80112-7201

Phone

(303) 779-5437

Fax

(303) 689-9628

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Levin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Pediatrics 5280 PC

  • Primary Care Clinic/Center
  • Centennial, CO
  • NPI 1629030689
  NPD (past)
• Pediatrics 5280, PC

  • Pediatrics Physician
  • Castle Rock, CO
  • NPI 1134545395
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1649520974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 120",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-779-5437",
            "fax_number": "303-689-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 120",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-779-5437",
            "fax_number": "303-689-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "MARY",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CO",
            "license": "19613387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "LEVIN",
            "credential": "RN, IBCLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Robert Lessig, DDS
• Merry Noel Lester, P.T.
• Dylan Leto, DDS
• Connie Chen Leung, PA
• Guy Lev, PT
• Paula Rae Levin, M.D.
• Anastasiya Diana Levytska, PHARM D
• Debbie Lew, NTP
• Karen Lewandowski, LCSW
• Madison Lewis, MA, LPCC

• Lactation Consultant (Non-RN) in Centennial, CO
• Providers in Centennial, CO by specialty
• Lactation Consultant (Non-RN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.