MANDIE DANIELS (NPI# 1215423785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215423785 |
| Entity Type | Individual |
| Full Name | MANDIE DANIELS |
| Credential | LVN IBCLC |
| Practice Address |
1310 Paluxy Rd Granbury TX 76048-5655 |
| Practice Telephone | 8175792969 |
| Mailing Telephone | 8173419341 |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2018-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164X00000X | Licensed Vocational Nurse | 305820 | TX | Nursing Service Providers |
| Y | 174N00000X | Lactation Consultant, Non-RN | L-95187 | TX | Other Service Providers |
| Street Address |
1310 PALUXY RD |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048-5655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491359 | Kyle Patton Mccombs | Internal Medicine | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2005-07-18 |
| 1265945539 | Apptexased Pllc | Emergency Medicine | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2017-11-09 |
| 1700399078 | Apptexashm Pllc | Hospitalist | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2017-11-09 |
| 1497169361 | John Bump | Internal Medicine | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2014-06-18 |
| 1366733743 | Bushra Shoib | Internal Medicine | 1310 Paluxy Rd, Granbury, TX 76048 | 2011-04-20 |
| 1083849269 | Hill Country Radiology Associates Pllc | Radiology | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2009-05-18 |
| 1407006117 | Philip Oran Adams | Physician Assistant | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2008-09-30 |
| 1376792390 | Paul J. Goldman,md Diagnostic Clinic | Internal Medicine | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2008-09-15 |
| 1740496298 | Pcg Consulting, Inc. | Clinic/Center | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2007-05-14 |
| 1457495608 | Hood Emergency Medicine Associates Pa | Physician Assistant | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| Find all providers in zip 76048 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on MANDIE DANIELS.
| 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.