Maranda Sue Nybo

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

6340 Kiln Delisle Rd Ste C
Pass Christian, MS 39571-9719

Phone

(228) 363-0158

NPI assigned

Aug 7, 2022

Last updated

Aug 7, 2022By the provider in NPPES

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

Practice roles

Locations

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.

• Gulf Coast Breastfeeding Center LLC

  • Health Service Clinic/Center
  • Pass Christian, MS
  • NPI 1992542534
  NPD Authorized official
• Women's Healthcare Associates, LLC

  • Nursing Care Agency
  • Farmington, CT
  • NPI 1659195170
  NPD (past)

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1902533128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10381 OLD SIDNEY RD",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395718426",
            "telephone_number": "228-669-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 KILN DELISLE RD STE C",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395719719",
            "telephone_number": "228-363-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBO",
        "first_name": "MARANDA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Morgan, RN
• Felicia Morris, OMT
• Ms Hud Dixie LLC (Pass Christian Health and Rehabilitation Center)
• Chad M Newell, P.T.
• Victoria Allon Nutting
• Jeanne Hannah Oliver, MS, CCC-SLP
• Christina Lewando Palazzo, MS,LPC
• Michael Joseph Papania, MSN
• Tara Parish, PHARM. D.
• Pass Christian Chiromed, LLC

• Lactation Consultant (Non-RN) in Pass Christian, MS
• Providers in Pass Christian, MS by specialty
• Lactation Consultant (Non-RN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.