NCLARK LLC (NPI# 1407257033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407257033 |
| Entity Type | Organization |
| Organization Name | NCLARK LLC |
| Other Organization Name | NORTHERN VIRGINIA LACTATION CONSULTANTS |
| Practice Address |
4250 Chain Bridge Rd Fairfax VA 22030-4214 |
| Practice Telephone | 7034252229 |
| Mailing Telephone | 7034252229 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | NANCY J CLARK (DIRECTOR) |
| Authorized Official Telephone | 7034252229 |
| Authorized Official Credential | IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 10-=========-F00 | VA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Northern Virginia Lactation Consultants | Doing Business As Name - Organization |
| Street Address |
4250 CHAIN BRIDGE RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063469393 | Sohail K Mirza | Orthopaedic Surgery | 4250 Chain Bridge Rd, Fairfax, VA 22030-4214 | 2006-05-30 |
| 1124554860 | Peer Technologies Pllc | Orthopaedic Surgery | 4250 Chain Bridge Rd, Fairfax, VA 22030-4214 | 2017-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1083214357 | Laci Ann Tang | Lactation Consultant, Non-RN | 5221 Concordia St, Fairfax, VA 22032-3409 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682895 | Kristi Ramey | Lactation Consultant, Non-RN | 1900 Skipwith Rd, Henrico, VA 23229-4202 | 2020-06-02 |
| 1366070344 | Racheal Marie Boyea-o'brien | Lactation Consultant, Non-RN | 840 Juniper Cres Ste 102, Chesapeake, VA 23320-2628 | 2020-03-27 |
| 1528698503 | Alexis Lane Matthews Lehmann | Lactation Consultant, Non-RN | 27 Abbey Ct, Fishersville, VA 22939-2156 | 2020-01-18 |
| 1558928432 | Nichelle Brittany Clark | Lactation Consultant, Non-RN | 1029 Hill St, Chesapeake, VA 23324-1124 | 2019-05-25 |
| 1588227458 | Tamika Harris | Lactation Consultant, Non-RN | 8206 Mcclelland Pl, Alexandria, VA 22309-1833 | 2019-04-17 |
| 1730648486 | Danielle Mcmillan | Lactation Consultant, Non-RN | 210 North St Ne, Coeburn, VA 24230-4002 | 2019-03-12 |
| 1215491238 | Erin Elizabeth Vandelinde | Lactation Consultant, Non-RN | 7201 Mount Chestnut Rd, Roanoke, VA 24018-7745 | 2019-01-23 |
| 1851865307 | Shannon Heindel | Lactation Consultant, Non-RN | 43400 Postrail Sq, Ashburn, VA 20147-4600 | 2019-01-17 |
| 1689147431 | Joanna Christine Becker | Lactation Consultant, Non-RN | 24636 Woolly Mammoth Ter Unit 303, Aldie, VA 20105-3205 | 2019-01-04 |
| 1831670207 | Lisa Geis | Lactation Consultant, Non-RN | 5233 Dunleigh Dr, Burke, VA 22015-1619 | 2018-08-23 |
| 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.