Teresa McClellan, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11014410 Issued in GA

Practice address

164 King Arthur Dr
Lawrenceville, GA 30046-4754

Phone

(404) 273-2223

NPI assigned

May 25, 2011

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1841583804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 KING ARTHUR DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464754",
            "telephone_number": "404-273-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 KING ARTHUR DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464754",
            "telephone_number": "404-273-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "TERESA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "11014410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwidgelyne McCall, FNP
• Linda Sue McCall, L.C.S.W.
• Latrice Rene McCarter, RBT
• Nicole Lynn McCarthy, PA-C
• Colleen McCaw
• Cynthia McClendon
• Darquita McColumn, RN
• Anna Kate McCormick, OTR/L
• Jerilyn Michelle McCormick, CRNA
• Richard D. McCormick, M.D.

• Lactation Consultant (Non-RN) in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.