Mary Miller, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

253482 Issued in NY

Practice address

313 Elmwood Ave
Buffalo, NY 14222-2203

Phone

(716) 780-2662

NPI assigned

Dec 6, 2017

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1922513423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BAYNES ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131644",
            "telephone_number": "518-506-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222203",
            "telephone_number": "716-780-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "253482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda E Miller
• Lisa Rene Miller
• Loretta J Miller, PT
• Lynnmarie Miller
• Mark R Miller, LCSWR
• Mary Miller, MA
• Meagan Miller
• Melissa Miller
• Mena Miller
• Michael Joseph Miller, LMSW

• Lactation Consultant (Non-RN) in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.