My Infant Needs,Inc

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

11291501 Issued in TX

Legal business name

MY INFANT NEEDS,INC

Practice address

407 County Road 1520
Mt Pleasant, TX 75455-7378

Phone

(903) 563-4765

NPI assigned

Dec 15, 2010

Last updated

Nov 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Faye Self, RN,BSN

Title

Director

Phone

(903) 563-4765

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1952604894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 COUNTY ROAD 1520",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754557378",
            "telephone_number": "903-563-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 COUNTY ROAD 1520",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754557378",
            "telephone_number": "903-563-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY INFANT NEEDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-563-4765",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "11291501",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "TX",
            "license": "716125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.