KMAK BREASTFEEDING SUPPORT SERVICE LLC (NPI# 1083049100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083049100 |
| Entity Type | Organization |
| Organization Name | KMAK BREASTFEEDING SUPPORT SERVICE LLC |
| Practice Address |
7431 S Ivy Way Centennial CO 80112-1509 |
| Practice Telephone | 7202192994 |
| Mailing Telephone | 7202192994 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | MARIANNE ELIZABETH KMAK (RN, BSN, IBCLC) |
| Authorized Official Telephone | 7202192994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
Nursing Service Providers |
| Street Address |
7431 S IVY WAY |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963110 | Virtual Breastfeeding, Inc | Registered Nurse | 8200 S Quebec St Ste A3123, Centennial, CO 80112-4411 | 2020-05-14 |
| 1922345685 | Marianne Kmak | Registered Nurse | 8200 S Quebec St, A-12, Centennial, CO 80112-4411 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131906 | Jill S Price | Registered Nurse | 781 Stagecoach Dr, Lafayette, CO 80026-8711 | 2020-10-14 |
| 1891309464 | Emily Joan Gatto | Registered Nurse | 3024 W Scott Pl, Denver, CO 80211-1426 | 2020-09-01 |
| 1003424268 | Morgan Kathleen Tempel | Registered Nurse | 2680 Farrier Ct, Colorado Springs, CO 80922-2545 | 2020-07-14 |
| 1033742168 | Milkd Up LLC | Registered Nurse | 6524 E 162nd Dr, Brighton, CO 80602-7595 | 2020-02-18 |
| 1003322793 | Pikes Peak Lactation | Registered Nurse | 521 W Ramona Ave, Colorado Springs, CO 80905-2031 | 2017-12-18 |
| 1518348176 | Karen L Rossman | Registered Nurse | 2430 19th Ave, Greeley, CO 80631-8124 | 2015-06-09 |
| 1154712545 | Heather Harris | Registered Nurse | 16491 E Jackalope Dr, Parker, CO 80134-3174 | 2015-02-06 |
| 1487088720 | Dana Lenee Defreece | Registered Nurse | 13382 Briarwood Dr, Broomfield, CO 80020-5277 | 2013-08-22 |
| 1700188646 | Amanda Ogden | Registered Nurse | 4259 Wyandot St, Denver, CO 80211-1758 | 2010-11-29 |
| 1073759544 | Peggy Sue Curtis | Registered Nurse | 3034 S Pleasant View Dr, Castle Rock, CO 80108-2856 | 2009-01-05 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
Please comment or provide details below to improve the information on KMAK BREASTFEEDING SUPPORT SERVICE LLC.
| 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.