Misty Marlena Vass, BSN, IBCLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R219313 Issued in MD

Practice address

15007 Scottswood CT
Woodbine, MD 21797-8333

Phone

(865) 660-9682

NPI assigned

Feb 22, 2022

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

Credentials

Bachelor on Science - Nursing

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lactation Room

  • Registered Nurse
  • Kensington, MD
  • NPI 1033576202
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1902552524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15007 SCOTTSWOOD CT",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978333",
            "telephone_number": "865-660-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15007 SCOTTSWOOD CT",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978333",
            "telephone_number": "865-660-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASS",
        "first_name": "MISTY",
        "middle_name": "MARLENA",
        "credential": "BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R219313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Woodbine, MD
• Providers in Woodbine, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.