Individual provider Active NPI

Maria Luisa Suzzarini Torrealba, IBCLC

  • Lactation Consultant (Non-RN)
  • Columbia, MO
National Provider Identifier
1912526625
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-148072
Practice address
4511 Kentsfield LN Apt 307
Columbia, MO 65201-3544
Phone
(346) 218-0522
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X L-148072 Primary

Addresses

Primary practice location

4511 Kentsfield LN Apt 307
Columbia, MO 65201-3544

Mailing address

4511 Kentsfield LN Apt 307
Columbia, MO 65201-3544
Phone (346) 218-0522

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

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1912526625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 KENTSFIELD LN APT 307",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013544",
            "telephone_number": "346-218-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 KENTSFIELD LN APT 307",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013544",
            "telephone_number": "346-218-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZZARINI TORREALBA",
        "first_name": "MARIA",
        "middle_name": "LUISA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-148072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.