Teresa McCormack Lactation Support LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

TERESA MCCORMACK LACTATION SUPPORT LLC

Practice address

4443 30TH St Ste 205
San Diego, CA 92116-4291

Phone

(619) 567-8146

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Teresa Ann McCormack, RN, IBCLCNPI 1790240885

Title

Managing Member

Phone

(858) 216-6257

Specialties & licenses 1

Addresses

Practitioners 1

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

• Teresa Ann McCormack, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • San Diego, CA
  • NPI 1790240885
  NPD (past) Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1861950545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9728 MARILLA DR UNIT 205",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920402853",
            "telephone_number": "858-216-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 30TH ST STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164291",
            "telephone_number": "619-567-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA MCCORMACK LACTATION SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "858-216-6257",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immanuel Yu Terbio, DPT
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• Teresa Beckwith, Lac
• Teresa Dudarewicz MD, Inc.
• Danny R. Terhorst, MD
• Teri Inc.
• Vivian Terkel, M.D.
• Robert Terkeltaub, M.D.
• Shane Edwin Terpstra

• Lactation Consultant (Registered Nurse) in San Diego, CA
• Providers in San Diego, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.