ANGELA GOMES DOS SANTOS (NPI# 1710518527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710518527 |
| Entity Type | Individual |
| Full Name | ANGELA GOMES DOS SANTOS |
| Credential | IBCLC |
| Practice Address |
3911 Mary Eliza Trce Nw Ste 200 Marietta GA 30064-1088 |
| Mailing Address |
1660 E Lake Dr Marietta GA 30062-2111 |
| Practice Telephone | 6783843480 |
| Mailing Telephone | 7046223785 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-162040 | Other Service Providers |
| Street Address |
3911 MARY ELIZA TRCE NW STE 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-1088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| 1427400266 | Fresh Start Recovery Center, LLC | Clinic/Center | 25 Whitlock Pl Sw Ste 101, Marietta, GA 30064 | 2016-07-05 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1710531363 | Shannon Trocolli | Lactation Consultant, Non-RN | 50 Plaza Way Nw Ste E, Marietta, GA 30060-1141 | 2019-07-31 |
| 1528546900 | Angela Marino | Lactation Consultant, Non-RN | 50 Plaza Way Nw, Marietta, GA 30060-1141 | 2018-07-30 |
| 1184999682 | Yolanda Bickley Kadima | Lactation Consultant, Non-RN | 3605 Sandy Plains Rd, 240-111, Marietta, GA 30066-3068 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109140 | Darnaisha Campbell | Lactation Consultant, Non-RN | 206 Chatham St Apt B, Lagrange, GA 30240-5387 | 2020-09-21 |
| 1770193310 | Nicole Schwartz | Lactation Consultant, Non-RN | 431 Westside Dr, Roswell, GA 30075-4835 | 2020-08-07 |
| 1639799372 | Jean G Howington | Lactation Consultant, Non-RN | 4520 Bartow Carver Rd Se Apt 3, Acworth, GA 30102-2669 | 2020-04-22 |
| 1417590795 | Jennifer Marie Letzer | Lactation Consultant, Non-RN | 2202 The Vly, Sandy Springs, GA 30328-5413 | 2019-10-19 |
| 1831740026 | Napiera Loveless | Lactation Consultant, Non-RN | 4258 Duncan Ives Dr, Buford, GA 30519-7556 | 2019-09-27 |
| 1134773880 | Heather Michelle Goodbread | Lactation Consultant, Non-RN | 408 S Atlanta St Ste 155, Roswell, GA 30075-4976 | 2019-07-31 |
| 1194386201 | Pamela Juliet Campbell | Lactation Consultant, Non-RN | 403 Robinson Rd, Peachtree City, GA 30269-1861 | 2019-06-28 |
| 1952961351 | Nichole Lynn Cutrone | Lactation Consultant, Non-RN | 3635 Azurite St, Cumming, GA 30040-6096 | 2019-06-18 |
| 1194385054 | Laura Crockett | Lactation Consultant, Non-RN | 754 Virginia Cir Ne, Atlanta, GA 30306-3712 | 2019-06-13 |
| 1518432947 | Heather Hardy | Lactation Consultant, Non-RN | 109 Heritage Oaks Dr, Ball Ground, GA 30107-6307 | 2018-10-12 |
| 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.