Active NPI
Jill Mailing, CLC
- Lactation Consultant (Non-RN)
- Ann Arbor, MI
National Provider Identifier
1861135022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 322658
- Practice address
- 701 E University Ave
Ann Arbor, MI 48109 - Phone
- (248) 214-1531
- NPI assigned
- Apr 15, 2022
- 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 | 322658 | MI | Primary |
Addresses
Primary practice location
701 E University Ave
Ann Arbor, MI 48109
Mailing address
2601 Jackson Ave # 1072
Ann Arbor, MI 48103-3820
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
| License | State | Type | Specialty |
|---|---|---|---|
| 322658 | MI | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1861135022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 JACKSON AVE # 1072",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E UNIVERSITY AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48109",
"telephone_number": "248-214-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAILING",
"first_name": "JILL",
"credential": "CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-15",
"last_updated": "2022-04-15",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": "MI",
"license": "322658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.