Marilyn Marie Mathe, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN087022 Issued in AZ

Practice address

269 S Candy LN
Cottonwood, AZ 86326-4170

Phone

(928) 639-6520

Fax

(928) 639-6647

NPI assigned

Apr 6, 2018

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

State licenses

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1821595893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863250576",
            "telephone_number": "928-634-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S CANDY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264170",
            "telephone_number": "928-639-6520",
            "fax_number": "928-639-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHE",
        "first_name": "MARILYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "RN087022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Clark Manning, PHARMD
• Cynthia Earhart Martin, MD
• Julie Ann Marttila, LMT
• Marvin L Colvin DO
• Karen Marzullo, LPC
• Mathis Eye Care LLC
• James A. Mathis, O.D.
• Maxwell John Matson, M.D.
• Frank D Matthews, M.D.
• James Ivan May, FNP-BC

• Lactation Consultant (Registered Nurse) in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Lactation Consultant (Registered Nurse) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.