TIPHANY ILLYES (NPI# 1023673829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023673829 |
| Entity Type | Individual |
| Full Name | TIPHANY ILLYES |
| Credential | IBCLC |
| Practice Address |
676 Fountain View Ln League City TX 77573-1971 |
| Practice Telephone | 8322215900 |
| Mailing Telephone | 8322215900 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-21945 | TX | Other Service Providers |
| Street Address |
676 FOUNTAIN VIEW LN |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77573-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
| 1033764931 | Brittany Salinas | Physical Medicine & Rehabilitation | 2205 Colonial Court N, League City, TX 77573 | 2019-08-07 |
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1851863724 | Gina Carter | Durable Medical Equipment & Medical Supplies | 210 S. Hwy 3, Unit B, League City, TX 77573 | 2018-12-17 |
| 1497226393 | Daniel Max & Marcandrea LLC | Optometrist | 3170 Gulf Freeway South, League City, TX 77573 | 2018-12-17 |
| 1972071983 | Chelsie N Chonoski | Nurse Practitioner | 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 | 2018-11-07 |
| 1730660564 | Rebecca Ann Peth | Physical Therapist | 350 N Wesley Dr., Apt 1123, League City, TX 77573 | 2018-08-29 |
| 1912485087 | Sarwat Hussain Zaffer | Dentist | 1620 W Fm 646, Ste D, League City, TX 77573 | 2018-08-01 |
| 1518468651 | Clear Creek Chiropractic Center | Clinic/Center | 624 West Main Ste 102, League City, TX 77573 | 2018-02-23 |
| 1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
| Find all providers in zip 77573 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851678924 | Bay Area Breastfeeding and Education, LLC | Lactation Consultant, Non-RN | 2102 Goldfinch Ln, League City, TX 77573-3867 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336253 | Dawnestel Fodeibou | Lactation Consultant, Non-RN | 3354 Strong Winds Dr, Houston, TX 77014-2862 | 2020-11-05 |
| 1225654700 | Payton Haylie Blackwood | Lactation Consultant, Non-RN | 4201 Boat Club Rd, Fort Worth, TX 76135-2602 | 2020-06-22 |
| 1457974941 | Veronica A Gaitan | Lactation Consultant, Non-RN | 2100 Jay Ave, Mcallen, TX 78504-3921 | 2020-05-19 |
| 1124657689 | Danielle Villanueva | Lactation Consultant, Non-RN | 502 Smith Street, Henderson, TX 75654 | 2020-04-06 |
| 1578199881 | Emily Fullmer Liczbinski | Lactation Consultant, Non-RN | 2753 Scenic Dr, Plano, TX 75025-4155 | 2020-03-18 |
| 1316572845 | Nia Mathis | Lactation Consultant, Non-RN | 4804 Topsey Dr, Killeen, TX 76542-6201 | 2020-03-04 |
| 1073147971 | Alyssa Nicole Peri | Lactation Consultant, Non-RN | 2301 Silver Maple Dr, Wylie, TX 75098-8443 | 2020-02-28 |
| 1366074809 | Medora Jean Hamrick | Lactation Consultant, Non-RN | 849 Layla Dr, Fate, TX 75087-0228 | 2020-02-11 |
| 1295371912 | Dawna Marie Mangrum | Lactation Consultant, Non-RN | 4734 Cedarbrook, San Antonio, TX 78238-3011 | 2019-11-18 |
| 1316582869 | Sarah Cuccia | Lactation Consultant, Non-RN | 6619 Lindale Manor Ct, Spring, TX 77379-8930 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
| City | LEAGUE CITY |
| Zip Code | 77573 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.