Janet Graczyk

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11174236 Issued in PA

Practice address

116 E King St
Malvern, PA 19355-2516

Phone

(610) 644-1379

NPI assigned

Jan 17, 2012

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": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1881965226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 UNIONVILLE RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657119",
            "telephone_number": "610-804-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E KING ST",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552516",
            "telephone_number": "610-644-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACZYK",
        "first_name": "JANET",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "PA",
            "license": "11174236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in Malvern, PA
• Providers in Malvern, PA by specialty
• Lactation Consultant (Non-RN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.