ANGELA TATUM MALLOY (NPI# 1447633615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447633615 |
| Entity Type | Individual |
| Full Name | ANGELA TATUM MALLOY |
| Practice Address |
131 Hay St Ste 201 Fayetteville NC 28301-6105 |
| Practice Telephone | 9107648314 |
| Mailing Telephone | 9107648314 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Cokefield Dr, Fayetteville, NC 283069017 | 9107975976 |
| Street Address |
131 HAY ST STE 201 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396918009 | Humans United Giving Greater Services | Community/Behavioral Health | 131 Hay St Ste 201, Fayetteville, NC 28301-5649 | 2008-04-03 |
| 1053941971 | Fayetteville Breastfeeding Center Inc | Lactation Consultant, Non-RN | 131 Hay St Ste 201, Fayetteville, NC 28301-6105 | 2020-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| 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 |
|---|---|---|---|---|
| 1528675238 | Arkansas Lactation | Lactation Consultant, Non-RN | 6035 W Transit St, Fayetteville, AR 72704-5097 | 2020-09-26 |
| 1275167454 | Latch Breastfeeding and Postpartum Wellness Center | Lactation Consultant, Non-RN | 154 Bow St, Fayetteville, NC 28301-5072 | 2020-02-26 |
| 1518523455 | Abigail Sanders | Lactation Consultant, Non-RN | 8301 Gorrenberry Dr, Fayetteville, NC 28311-9205 | 2019-05-16 |
| 1770060451 | Brandy Lendley | Lactation Consultant, Non-RN | 266 Bagley Hollow Rd, Fayetteville, TN 37334-4528 | 2018-07-25 |
| 1558847368 | Katie Jean Atkins | Lactation Consultant, Non-RN | 2988 N Quail Creek Dr, Fayetteville, AR 72703-3983 | 2018-07-15 |
| 1265962104 | Emily Primeaux | Lactation Consultant, Non-RN | 615 Galloway Dr, Fayetteville, NC 28303-2112 | 2017-06-14 |
| 1467820654 | Sarah Lester | Lactation Consultant, Non-RN | 320 St Martins Pl, Fayetteville, NC 28311-7178 | 2015-09-04 |
| 1184982035 | Stephanie J Bielli | Lactation Consultant, Non-RN | 7037 Bucktail Rd, Fayetteville, NC 28311-9351 | 2012-04-29 |
| 1053941971 | Fayetteville Breastfeeding Center Inc | Lactation Consultant, Non-RN | 131 Hay St Ste 201, Fayetteville, NC 28301-6105 | 2020-01-20 |
| 1235605379 | Lindsey Lee Mulholland | Lactation Consultant, Non-RN | 1327 Robeson St, Fayetteville, NC 28305-5531 | 2018-10-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on ANGELA TATUM MALLOY.
| 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.