MARY MARINE (NPI# 1336545771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336545771 |
| Entity Type | Individual |
| Full Name | MARY MARINE |
| Credential | IBCLC |
| Practice Address |
20 Allen St Martinez CA 94553-2681 |
| Mailing Address |
595 Center Ave Ste 300 Martinez CA 94553-4634 |
| Practice Telephone | 9253136098 |
| Practice Fax Number | 9253136599 |
| Mailing Telephone | 9253136098 |
| Mailing Fax Number | 9253136599 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 10218424 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871917112 | Mary Jo Marine | Dietitian, Registered | 8952 E. Desert Cove Dr., Suite 114, Scottsdale, AZ 85260 | 2014-02-06 |
| Street Address |
20 ALLEN ST |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-2681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639245608 | Matthew Alan Gutierrez | Family Medicine | 20 Allen St, Martinez, CA 94553-2681 | 2006-11-28 |
| 1588046817 | Pamela Ann Mccoy | Registered Nurse | 20 Allen St, Martinez, CA 94553-2681 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| 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 |
|---|---|---|---|---|
| 1154922722 | Ashley Elizabeth Tehrani | Lactation Consultant, Non-RN | 3722 Arnold Ave Apt 5, San Diego, CA 92104-3481 | 2020-11-02 |
| 1760083216 | Teresa Marie Peters | Lactation Consultant, Non-RN | 1120 S Santa Anita Ave Apt A, Arcadia, CA 91006-4029 | 2020-11-02 |
| 1982203667 | Paula Conriquez | Lactation Consultant, Non-RN | 6230 Drop Off Rd, Pollock Pines, CA 95726-9633 | 2020-10-22 |
| 1265031397 | Arabella Hancock | Lactation Consultant, Non-RN | 1038 Rose Ave, Pasadena, CA 91107-1867 | 2020-10-20 |
| 1194331314 | Madison Benstead | Lactation Consultant, Non-RN | 26672 Fino Ct, Redlands, CA 92373-4318 | 2020-09-22 |
| 1952917189 | Kayla Benado | Lactation Consultant, Non-RN | 4653 California Blvd, Santa Maria, CA 93455-4158 | 2020-09-22 |
| 1376152835 | Rebecca Howell | Lactation Consultant, Non-RN | 4811 N Bellflower Blvd, Long Beach, CA 90808-1121 | 2020-07-30 |
| 1740898659 | Heidi Burke-pevney | Lactation Consultant, Non-RN | 1808 Sheridan Way, San Marcos, CA 92078-0929 | 2020-07-16 |
| 1942828140 | Megan Zoe Barrett | Lactation Consultant, Non-RN | 49 Bonita Ave, Piedmont, CA 94611-3947 | 2020-07-14 |
| 1225659840 | Antonina Proshak | Lactation Consultant, Non-RN | 811 Grand Ave Ste A1, Sacramento, CA 95838-3466 | 2020-05-05 |
| 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.