Organization Active NPI

Cumberland Valley Lactation LLC

  • Lactation Consultant (Registered Nurse)
  • Hagerstown, MD
National Provider Identifier
1730670456
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
R122553 Issued in MD
Legal business name
CUMBERLAND VALLEY LACTATION LLC
Practice address
864 Jefferson Blvd
Hagerstown, MD 21740-5015
Phone
(301) 800-8114
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Elizabeth Anne Palermino, IBCLCNPI 1023508850
Title
RN/Lactation Consultant
Phone
(301) 800-8114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X R122553 MD Primary

Addresses

Primary practice location

864 Jefferson Blvd
Hagerstown, MD 21740-5015

Mailing address

12916 Woodburn Dr
Hagerstown, MD 21742-2866
Phone (301) 800-8114

National Provider Directory

National Provider Directory

Locations

864 Jefferson Blvd
Hagerstown, MD 21740
Phone (301) 800-8114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1730670456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12916 WOODBURN DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422866",
            "telephone_number": "301-800-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 JEFFERSON BLVD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405015",
            "telephone_number": "301-800-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND VALLEY LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "PALERMINO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "RN/LACTATION CONSULTANT",
        "authorized_official_telephone_number": "301-800-8114",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "R122553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.