Jessica Marlles, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

329530 Issued in MT

Practice address

74 Mulberry Loop NE
Minot, ND 58703-0577

Phone

(859) 447-1205

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 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

Electronic endpoints 1

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1932821766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MULBERRY LOOP NE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030577",
            "telephone_number": "859-447-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MULBERRY LOOP NE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030577",
            "telephone_number": "859-447-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLLES",
        "first_name": "JESSICA",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MT",
            "license": "329530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jessicam.lactation@gmail.com",
            "affiliation": "N",
            "endpointDescription": "advanced management",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "74 Mulberry Loop NE",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587030577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Cassandra Lynn Martel

• Lactation Consultant (Non-RN) in Minot, ND
• Providers in Minot, ND by specialty
• Lactation Consultant (Non-RN) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.