Active NPI
Tenise Nicole Hordge
- Lactation Consultant (Non-RN)
- Mansfield, TX
National Provider Identifier
1699441808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- 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
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 (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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Lactation Consultant (Non-RN)
- Mansfield, TX
- NPI 1003515677
Lactation Consultant, Non-RN
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
- Tamara Hoover
- Hope Express
- Brionna Hope
- Christopher Michael Hopkins, M.D.
- Sarah Elizabeth Hopps, D.D.S.
- Christopher Andrew Horn, LPC
- Hospitalist Partners of Excellence in Mansfield (H.O.P.E), P.a.
- Hospitalist Partners of Excellence in Mansfield (H.O.P.E), PA
- Casie A Hough, MOT, OTR
- Beth Marie Householder, L.M.T
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.