Sonia Mathisson, MS, RD, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-85295 Issued in NY

Practice address

3 Erin CT
Millwood, NY 10546-1004

Phone

(914) 450-9304

NPI assigned

Mar 30, 2016

Last updated

Mar 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1689037491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ERIN CT",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIN CT",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461004",
            "telephone_number": "914-450-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISSON",
        "first_name": "SONIA",
        "credential": "MS, RD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "815962",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "L-85295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Kriniske, MPH, OTR
• Ginny Mackles, LMHC
• Sophia Makrigianis, RPH
• Laura Gavan Marucci, PT
• Matthew Marucci, MSPT, OCS, CSCS
• Adam Russell Messina, PT
• Byron Miller, OTR/L
• New Castle Physical Therapy PC (New Castle Physical Therapy and Personal Training)
• Andrea Pereira-Kriniske
• Paula Sue Piccione, RPH

• Lactation Consultant (Non-RN) in Millwood, NY
• Providers in Millwood, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.