Madison Marie Smith, MA, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-303877 Issued in MI

Practice address

1258 Leforge Rd Apt K4
Ypsilanti, MI 48198-3525

Phone

(336) 287-3726

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1689318610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 LEFORGE RD APT K4",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983525",
            "telephone_number": "336-287-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 LEFORGE RD APT K4",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983525",
            "telephone_number": "336-287-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "credential": "MA, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MI",
            "license": "L-303877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Smith
• Jayden Smith
• Jill Deanne Smith, LBSW,CAC-M
• Kelsey Jean Smith, BEHAVIOR TECHNICIAN
• Kruz Smith
• McKenna Marie Smith
• Michael Washburn Smith, MD
• Naomi Tyrese Smith, LMSW, LCSW
• Paul Gordon Smith, M.D.
• Robbyn Deborah-Renee Smith, FNP-C

• Lactation Consultant (Non-RN) in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Lactation Consultant (Non-RN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.