NPIMap

Individual provider Active NPI

Nancy Lucille Mallin, IBCLC

  • Lactation Consultant (Non-RN)
  • Kensington, MD
National Provider Identifier
1841583598
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11098812 Issued in MD
Practice address
4217 Brookfield Dr
Kensington, MD 20895-4011
Phone
(301) 897-3533
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2011

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 11098812 MD Primary

Addresses

Primary practice location

4217 Brookfield Dr
Kensington, MD 20895-4011

Mailing address

4217 Brookfield Dr
Kensington, MD 20895-4011
Phone (301) 897-3533

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

State licenses

LicenseStateTypeSpecialty
11098812MDMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Breastfeeding Outreach for Greater Washington Past Accepting new patients
New BCGW Corp Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1841583598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 BROOKFIELD DR",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208954011",
            "telephone_number": "301-897-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 BROOKFIELD DR",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208954011",
            "telephone_number": "301-897-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIN",
        "first_name": "NANCY",
        "middle_name": "LUCILLE",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MD",
            "license": "11098812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.