Active NPI
Mary Letourneau, RN,BSN,IBCLC
- Lactation Consultant (Registered Nurse)
- Berlin, VT
National Provider Identifier
1659792232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-28207
- Practice address
- 130 Fisher Rd
Berlin, VT 05602 - Phone
- (802) 371-4415
- NPI assigned
- Dec 26, 2013
- Last updated
- Dec 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-28207 | VT | Primary |
Addresses
Primary practice location
130 Fisher Rd
Berlin, VT 05602
Mailing address
PO Box 547
Barre, VT 05641
Phone (802) 371-4415
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-28207 | VT | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1659792232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "BARRE",
"state": "VT",
"postal_code": "05641",
"telephone_number": "802-371-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 FISHER RD",
"city": "BERLIN",
"state": "VT",
"postal_code": "05602",
"telephone_number": "802-371-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETOURNEAU",
"first_name": "MARY",
"credential": "RN,BSN,IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-26",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "VT",
"license": "L-28207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.