Individual provider Active NPI

Tenise Nicole Hordge

  • Lactation Consultant (Non-RN)
  • Mansfield, TX
National Provider Identifier
1699441808
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
4602 Spring Lake Pkwy # 220-330
Mansfield, TX 76063-5590
Phone
(817) 405-9661
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 TX Primary

Addresses

Primary practice location

4602 Spring Lake Pkwy # 220-330
Mansfield, TX 76063-5590

Mailing address

3540 E Broad St # 220-330
Mansfield, TX 76063-5633
Phone (817) 405-9661

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@mothersmagicalmilk.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mother'S Magical Milk Lactation Consultant, Non-RN Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1699441808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E BROAD ST # 220-330",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635633",
            "telephone_number": "817-405-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 SPRING LAKE PKWY # 220-330",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635590",
            "telephone_number": "817-405-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORDGE",
        "first_name": "TENISE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mothersmagicalmilk.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3540 E Broad St # 220-330",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760635633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.