BROOKE AZEVEDO (NPI# 1184097826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184097826 |
| Entity Type | Individual |
| Full Name | BROOKE AZEVEDO |
| Credential | BS, IBCLC |
| Practice Address |
890 Martin Ave Bryn Mawr PA 19010-3844 |
| Practice Telephone | 8057091133 |
| Mailing Telephone | 8057091133 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-83692 | PA | Other Service Providers |
| Street Address |
890 MARTIN AVE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| 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 |
|---|---|---|---|---|
| 1487126728 | Cara J Puff | Lactation Consultant, Non-RN | 918 County Line Rd, Bryn Mawr, PA 19010-2502 | 2018-12-27 |
| 1164919171 | Elizabeth Larkin | Lactation Consultant, Non-RN | 918 County Line Rd, Bryn Mawr, PA 19010-2502 | 2018-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991008 | Ayesha Patterson | Lactation Consultant, Non-RN | 5045 Foxdale Dr, Whitehall, PA 18052-2234 | 2020-04-24 |
| 1831733021 | Genesis Birth Services LLC | Lactation Consultant, Non-RN | 1616 Marlin Pkwy, Williamsport, PA 17701-2610 | 2019-10-31 |
| 1295387801 | Jennifer Lynn Gowdy | Lactation Consultant, Non-RN | 207 Arden Rd, Broomall, PA 19008-2004 | 2019-07-13 |
| 1487219853 | Holly Zavis | Lactation Consultant, Non-RN | 1055 Detweiler Ave, Hellertown, PA 18055-1632 | 2019-05-01 |
| 1619430105 | Katherine M Freedman | Lactation Consultant, Non-RN | 9 Elaines Ln, Chalfont, PA 18914-1407 | 2019-04-11 |
| 1013480227 | Caytlyn Weiland | Lactation Consultant, Non-RN | 987 Old Eagle School Rd Ste 705, Wayne, PA 19087-1708 | 2019-01-10 |
| 1073086971 | Devon Miller | Lactation Consultant, Non-RN | 348 Abbeyville Rd, Lancaster, PA 17603-4618 | 2019-01-03 |
| 1164994273 | Veriko Khvedelidze | Lactation Consultant, Non-RN | 372 Davisville Rd, Warminster, PA 18974-5567 | 2018-12-31 |
| 1285106559 | Stephanie Anne Brown | Lactation Consultant, Non-RN | 142 E Washington Ln, Philadelphia, PA 19144-2011 | 2018-12-26 |
| 1134691694 | Aleesha Burke | Lactation Consultant, Non-RN | 818 H Ave, Glenside, PA 19038-1809 | 2018-12-21 |
| 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.