HEATHER MICHELLE GOODBREAD (NPI# 1134773880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134773880 |
| Entity Type | Individual |
| Full Name | HEATHER MICHELLE GOODBREAD |
| Credential | IBCLC |
| Practice Address |
408 S Atlanta St Ste 155 Roswell GA 30075-4976 |
| Mailing Address |
1 Baltimore Pl Nw Ste 160 Atlanta GA 30308-2118 |
| Practice Telephone | 4044549715 |
| Mailing Telephone | 4044549715 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Baltimore Pl Nw Ste 160, Atlanta, GA 303082118 | 4044549715 | |
| 50 Plaza Way Nw Ste E, Marietta, GA 300601141 | 4044549715 |
| Street Address |
408 S ATLANTA ST STE 155 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-4976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| 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 |
|---|---|---|---|---|
| 1770193310 | Nicole Schwartz | Lactation Consultant, Non-RN | 431 Westside Dr, Roswell, GA 30075-4835 | 2020-08-07 |
| 1700395100 | Courtney Lynn Busha | Lactation Consultant, Non-RN | 55 Martin Point Ct, Roswell, GA 30076-2830 | 2017-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109140 | Darnaisha Campbell | Lactation Consultant, Non-RN | 206 Chatham St Apt B, Lagrange, GA 30240-5387 | 2020-09-21 |
| 1639799372 | Jean G Howington | Lactation Consultant, Non-RN | 4520 Bartow Carver Rd Se Apt 3, Acworth, GA 30102-2669 | 2020-04-22 |
| 1417590795 | Jennifer Marie Letzer | Lactation Consultant, Non-RN | 2202 The Vly, Sandy Springs, GA 30328-5413 | 2019-10-19 |
| 1831740026 | Napiera Loveless | Lactation Consultant, Non-RN | 4258 Duncan Ives Dr, Buford, GA 30519-7556 | 2019-09-27 |
| 1194386201 | Pamela Juliet Campbell | Lactation Consultant, Non-RN | 403 Robinson Rd, Peachtree City, GA 30269-1861 | 2019-06-28 |
| 1952961351 | Nichole Lynn Cutrone | Lactation Consultant, Non-RN | 3635 Azurite St, Cumming, GA 30040-6096 | 2019-06-18 |
| 1194385054 | Laura Crockett | Lactation Consultant, Non-RN | 754 Virginia Cir Ne, Atlanta, GA 30306-3712 | 2019-06-13 |
| 1518432947 | Heather Hardy | Lactation Consultant, Non-RN | 109 Heritage Oaks Dr, Ball Ground, GA 30107-6307 | 2018-10-12 |
| 1912489337 | Michelle Jennifer Bergman | Lactation Consultant, Non-RN | 549 Waburn Walk, Dallas, GA 30132 | 2018-09-01 |
| 1780161372 | Heather Markovitch | Lactation Consultant, Non-RN | 9142 Endicott Pl, Jonesboro, GA 30236-5112 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
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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.