ELIZABETH GEORGEANNE RAIVO-LYNCH (NPI# 1679130272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679130272 |
Entity Type | Individual |
Full Name | ELIZABETH GEORGEANNE RAIVO-LYNCH |
Credential | IBCLC |
Practice Address |
3020 Harding St Ne St Anthony MN 55418-2466 |
Practice Telephone | 6127039232 |
Mailing Telephone | 6127039232 |
Enumeration Date | 2019-05-20 |
Last Update Date | 2019-05-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | L-143469 | MN | Other Service Providers |
Street Address |
3020 HARDING ST NE |
City | ST ANTHONY |
State | MN |
Zip Code | 55418-2466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
Find all providers in zip 55418 |
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 |
---|---|---|---|---|
1275163750 | Madolynn Jon Duckwall | Lactation Consultant, Non-RN | 159 Elizabeth Ln, Burnsville, MN 55337-2709 | 2020-01-23 |
1346785599 | Laura Page | Lactation Consultant, Non-RN | 2359 Thomas Ave N, Minneapolis, MN 55411-2355 | 2016-12-26 |
1801269154 | Linda Paulson | Lactation Consultant, Non-RN | 299 Coon Rapids Blvd Nw Ste 105, Coon Rapids, MN 55433-5804 | 2015-11-09 |
1770967069 | Tiffany Gallagher | Lactation Consultant, Non-RN | 3312 Ewing Ave N, Robbinsdale, MN 55422-3204 | 2015-07-16 |
1962800995 | Natasha-kristin Reilly | Lactation Consultant, Non-RN | 910 Pontiac Ln, Chanhassen, MN 55317-9447 | 2014-12-08 |
1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
1841695020 | Emily Grace Whebbe | Lactation Consultant, Non-RN | 1408 W 28th St, Apt 3, Minneapolis, MN 55408-1935 | 2014-10-29 |
1922424829 | Amy Opatz | Lactation Consultant, Non-RN | 736 Mckinley Pl S, Saint Cloud, MN 56301-4007 | 2014-03-16 |
1326477548 | Stephanie Amber Rodriguez | Lactation Consultant, Non-RN | 623 Ethel St, Brainerd, MN 56401-5902 | 2013-11-07 |
1740529858 | Johanna Ellen Schnell | Lactation Consultant, Non-RN | 30672 Sunny Beach Rd, Grand Rapids, MN 55744-4891 | 2013-02-08 |
Find all providers with the same taxonomy |
City | ST ANTHONY |
Zip Code | 55418 |
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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.