Active NPI
Mary Elizabeth Herrington
- Lactation Consultant (Non-RN)
- Conroe, TX
National Provider Identifier
1992395933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-17248
- Practice address
- 2510 S Loop 336 W Ste 215H
Conroe, TX 77304-3737 - Phone
- (281) 305-0411
- NPI assigned
- Jan 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-17248 | VA | Primary |
| Registered Nurse | 163W00000X | 660740 | TX |
Addresses
Primary practice location
2510 S Loop 336 W Ste 215H
Conroe, TX 77304-3737
Mailing address
3698 Piney Point Rd
Conroe, TX 77301-5808
Phone (936) 718-8216
Other practice location 1
3698 Piney Point Rd
Conroe, TX 77301-5808
Phone (936) 718-8216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 660740 | TX | MD | Registered Nurse |
| L-17248 | VA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1992395933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3698 PINEY POINT RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773015808",
"telephone_number": "936-718-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 S LOOP 336 W STE 215H",
"city": "CONROE",
"state": "TX",
"postal_code": "773043737",
"telephone_number": "281-305-0411"
}
],
"practiceLocations": [
{
"address_1": "3698 Piney Point Rd",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773015808",
"country_code": "US",
"telephone_number": "936-718-8216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRINGTON",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-23",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "VA",
"license": "L-17248",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "TX",
"license": "660740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.