MRS. PHYLLIS GOODWIN MERRILL (NPI# 1144514407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144514407 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS GOODWIN MERRILL |
| Other Name | PEG MERRILL |
| Credential | IBCLC |
| Practice Address |
21522 W Liberty Rd Parkton MD 21120-9110 |
| Practice Telephone | 4103430023 |
| Mailing Telephone | 4103430023 |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2011-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) | 190-10574 | 01 |
| Street Address |
21522 W LIBERTY RD |
| City | PARKTON |
| State | MD |
| Zip Code | 21120-9110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902464852 | Melissa Juarez | Dentist | Ave Durango 1180, Mexicali, BAJA CALIFORNIA 21120 | 2019-06-04 |
| 1780630228 | Mary Kay Conover-walker | Nurse Practitioner | 250 Shilling Circle, Health Center, Hunt Valley, MD 21120 | 2006-05-26 |
| 1306843644 | Beverly June Davis Bye | Nurse Practitioner | 16905 Flickerwood Rd, Parkton, MD 21120 | 2005-07-01 |
| 1114952199 | Susan H Schrock | Internal Medicine | 14a Mount Carmel Rd, Parkton, MD 21120 | 2006-07-11 |
| 1821638792 | Jennifer Seman | Physician Assistant | 118 Bentley Rd, Parkton, MD 21120-9015 | 2020-01-08 |
| 1619485851 | Forever Home, LLC | Occupational Therapist | 1324 Rayville Rd, Parkton, MD 21120-9056 | 2018-01-22 |
| 1225282171 | Heidi Chesla | Physical Therapist | 19119 Middletown Rd, Parkton, MD 21120-9065 | 2008-11-05 |
| 1497119762 | Laura Acsadi | Social Worker | 21512 W Liberty Rd, Parkton, MD 21120-9110 | 2016-04-12 |
| 1154723419 | Sarah Koehn | Emergency Medical Technician, Basic | 20916 Old York Rd, Parkton, MD 21120-9135 | 2014-09-18 |
| 1861099863 | Paraklete Consulting, LLC | Counselor | 20870 Old York Rd, Parkton, MD 21120-9137 | 2020-10-03 |
| Find all providers in zip 21120 | ||||
| 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 |
|---|---|---|---|---|
| 1356976906 | Rebecca Gravenor | Lactation Consultant, Non-RN | 8077 Baptist Church Rd, Mardela Springs, MD 21837-2421 | 2020-03-04 |
| 1144853896 | Kathleen Terese Butler | Lactation Consultant, Non-RN | 7207 Antock Pl, Upper Marlboro, MD 20772-4305 | 2020-02-20 |
| 1003456658 | Laurel Cahill | Lactation Consultant, Non-RN | 13518 Osprey Ln, Solomons, MD 20688-4007 | 2020-01-12 |
| 1790320869 | Melanie Elizabeth Tarr | Lactation Consultant, Non-RN | 205 Groff Rd, Millington, MD 21651-1613 | 2019-11-13 |
| 1255993598 | Leeann L. Fincham | Lactation Consultant, Non-RN | 150 Inverness Rd, Severna Park, MD 21146-1356 | 2019-07-08 |
| 1861953531 | The Breastfeeding Den, LLC | Lactation Consultant, Non-RN | 1810 Roland Ave, Baltimore, MD 21204-3529 | 2019-03-26 |
| 1396210738 | Alexandra Kennedy Webster | Lactation Consultant, Non-RN | 7972 Brightlight Pl, Ellicott City, MD 21043-7959 | 2018-10-12 |
| 1972081404 | Fiona Jardine | Lactation Consultant, Non-RN | 4512 Sheridan St, Riverdale Park, MD 20737-1049 | 2018-08-06 |
| 1174009609 | Charnise Bridgette Littles | Lactation Consultant, Non-RN | 4407 Huntchase Dr, Bowie, MD 20720-3560 | 2018-07-18 |
| 1336625854 | Potomac Birth Services, LLC | Lactation Consultant, Non-RN | 321 Radcliffe Ave, Hagerstown, MD 21740-5717 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. PHYLLIS GOODWIN MERRILL.
| 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.