Manifesting Mama - Birth, Lactation and Beyond LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

MANIFESTING MAMA - BIRTH, LACTATION AND BEYOND LLC

Practice address

1000 Trestman Ave
Virginia Beach, VA 23464-1740

Phone

(757) 567-2011

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Kirsten O'NeillNPI 1790407914

Title

Owner

Phone

(757) 567-2011

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirsten Anne O'Neill, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Virginia Beach, VA
  • NPI 1790407914
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1992402861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TRESTMAN AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234641740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TRESTMAN AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234641740",
            "telephone_number": "757-567-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTING MAMA - BIRTH, LACTATION AND BEYOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-567-2011"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Alan Mandell, MD
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• Aaron Joseph Mangino, D.C.
• Swarna Manian, MD
• Manifest Wellness Counseling
• Jo-Marie Rabago Maniwang, D.D.S.
• Camisha Mann
• Joey Manning
• Cindy Albert Manno, RPH
• Manny-Nelson Med LLC

• Lactation Consultant (Registered Nurse) in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Lactation Consultant (Registered Nurse) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.