MRS. DELORES DIANE KEITH (NPI# 1780961466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780961466 |
| Entity Type | Individual |
| Full Name | MRS. DELORES DIANE KEITH |
| Credential | IBCLC, RLC |
| Practice Address |
4775 Burdsall Rd Williamsburg OH 45176-6556 |
| Practice Telephone | 5137243313 |
| Practice Fax Number | 5135367156 |
| Mailing Telephone | 5137243313 |
| Mailing Fax Number | 5135367156 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
4775 BURDSALL RD |
| City | WILLIAMSBURG |
| State | OH |
| Zip Code | 45176-6556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508384140 | Danielle Nicole Alsip | Licensed Practical Nurse | 5874 Marathon-edenton Rd, Williamsburg, OH 45176 | 2017-09-04 |
| 1629131321 | Margaret Louise Mcafee | Home Health Aide | 3480 Twin Bridges Road, Williamsburg, OH 45176 | 2006-12-18 |
| 1427141019 | Fitzgerald & Huling Pharmacy Inc | Pharmacy | 305 West Main, Williamsburg, OH 45176 | 2006-10-02 |
| 1295100444 | Rebecca Wilker | Doula | 307 S Broadway St, Williamsburg, OH 45176-1014 | 2015-12-13 |
| 1194226910 | Sahara Dawn Dorsey | Registered Nurse | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2018-02-27 |
| 1841812393 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1003438557 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1750521324 | Williamsburg Local School District | Local Education Agency (LEA) | 549 W Main St Ste A, Williamsburg, OH 45176-1120 | 2009-02-23 |
| 1164643458 | Aimee Jean Cooper | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2007-05-02 |
| 1639698145 | Trisha Elizabeth Hering | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2017-09-15 |
| Find all providers in zip 45176 | ||||
| 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 |
|---|---|---|---|---|
| 1205445483 | Fruit of The Womb Perinatal Service, LLC | Lactation Consultant, Non-RN | 3356 W 94th St, Cleveland, OH 44102-4818 | 2020-07-23 |
| 1053936575 | Laura Beth Mason | Lactation Consultant, Non-RN | 2424 Luddington Dr, Toledo, OH 43615-2563 | 2020-06-10 |
| 1992335459 | Autumn Marie Hadden | Lactation Consultant, Non-RN | 5280 Township Road 179, Cardington, OH 43315-9226 | 2020-01-23 |
| 1508415431 | Sarah Sims | Lactation Consultant, Non-RN | 23 Curtis Ave, Newark, OH 43055-6508 | 2019-09-04 |
| 1134781255 | Kaci Godbehere | Lactation Consultant, Non-RN | 1303 W Maple St Ste 105, North Canton, OH 44720-2858 | 2019-06-29 |
| 1093286981 | Hadassah Mann | Lactation Consultant, Non-RN | 2365 Section Rd, Cincinnati, OH 45237-3629 | 2018-12-17 |
| 1528536307 | Tender Beginnings LLC | Lactation Consultant, Non-RN | 6085 Summerville Ln, Liberty Twp, OH 45011-7283 | 2018-11-09 |
| 1003390725 | Beth Wilson | Lactation Consultant, Non-RN | 2958 Hanover Dr, Lima, OH 45805-2926 | 2018-09-18 |
| 1215441803 | Casey Tobik | Lactation Consultant, Non-RN | 27614 Caroline Cir Apt C, Westlake, OH 44145-1140 | 2017-11-20 |
| 1275082935 | Joellen M Noble | Lactation Consultant, Non-RN | 134 Fairview Ave, Sardinia, OH 45171-9354 | 2016-09-22 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 45176 |
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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.