LAVAWN DAUGHERTY-SOUTHER (NPI# 1467882530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467882530 |
| Entity Type | Individual |
| Full Name | LAVAWN DAUGHERTY-SOUTHER |
| Credential | LPN, IBCLC |
| Practice Address |
800 W Burrell Dr Crown Point IN 46307-8898 |
| Practice Telephone | 2196639913 |
| Practice Fax Number | 2196639923 |
| Mailing Telephone | 2196639913 |
| Mailing Fax Number | 2196639923 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 27047986A | IN | Nursing Service Providers |
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
800 W BURRELL DR |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-8898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104939958 | Mary Eileen Mccormack | Obstetrics & Gynecology | 800 W Burrell Dr, Crown Point, IN 46307-8898 | 2006-08-16 |
| 1881133114 | Mary Laird | Nurse Practitioner | 800 W Burrell Dr, Crown Point, IN 46307-8898 | 2017-02-20 |
| 1013168343 | Nicole M Cataldi | Obstetrics & Gynecology | 800 W Burrell Dr, Crown Point, IN 46307-8898 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| 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 |
|---|---|---|---|---|
| 1700492360 | Erika Dudley | Lactation Consultant, Non-RN | 307 Runaway Bay Cir Apt 2a, Mishawaka, IN 46545-8044 | 2020-09-18 |
| 1063037414 | Gemma Regan | Lactation Consultant, Non-RN | 52026 Cloverleaf Dr E, South Bend, IN 46637-6028 | 2020-06-11 |
| 1124683529 | Lauryn E Ulam | Lactation Consultant, Non-RN | 7173 Red Apple Dr, Michigan City, IN 46360-9180 | 2019-05-01 |
| 1306313077 | Kristin Lynn Szerszen | Lactation Consultant, Non-RN | 10275 Peotone Dr, Granger, IN 46530-7744 | 2018-10-30 |
| 1629564125 | Amber Nicole Salvagni | Lactation Consultant, Non-RN | 705 Riverside Dr # 1, South Bend, IN 46601-1048 | 2018-07-08 |
| 1619497443 | Brea Carlson | Lactation Consultant, Non-RN | 1402 Durham Dr, Crawfordsville, IN 47933-3510 | 2017-06-22 |
| 1245788710 | Lauren Majors | Lactation Consultant, Non-RN | 9505 W Thurston Ct, Yorktown, IN 47396-8005 | 2016-09-14 |
| 1790137412 | Erin Smallwood | Lactation Consultant, Non-RN | 5008 Apple Spruce Dr, Indianapolis, IN 46235-4746 | 2016-07-06 |
| 1548623267 | Ashwini Sudhir Bhise | Lactation Consultant, Non-RN | 6040 Sheridan Dr, Columbus, IN 47203-8506 | 2016-03-30 |
| 1801257621 | Amanda Gross | Lactation Consultant, Non-RN | 512 W Buena Vista Rd, Evansville, IN 47710-3460 | 2016-03-08 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on LAVAWN DAUGHERTY-SOUTHER.
| 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.