TRACY DARLENE GAUDLIP (NPI# 1790261626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790261626 |
Entity Type | Individual |
Full Name | TRACY DARLENE GAUDLIP |
Credential | IBCLC, LIC LC |
Practice Address |
575 Boulevard Se Atlanta GA 30312-3464 |
Practice Telephone | 4044549751 |
Mailing Telephone | 4044549751 |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | LC000086 | GA | Other Service Providers |
Street Address |
575 BOULEVARD SE |
City | ATLANTA |
State | GA |
Zip Code | 30312-3464 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356487714 | The Life's Star Project Inc. | Counselor | 575 Boulevard Se, Suite 200, Atlanta, GA 30312-3464 | 2007-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
Find all providers in zip 30312 |
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 |
---|---|---|---|---|
1194385054 | Laura Crockett | Lactation Consultant, Non-RN | 754 Virginia Cir Ne, Atlanta, GA 30306-3712 | 2019-06-13 |
1568961001 | Laura Avery Young | Lactation Consultant, Non-RN | 635 Grant St Se, Atlanta, GA 30312-3146 | 2018-02-11 |
1194170118 | Katherine Morrison | Lactation Consultant, Non-RN | 622 Kimberly Ln Ne, Atlanta, GA 30306-2225 | 2016-04-27 |
1861834376 | Christie Ward Coursey | Lactation Consultant, Non-RN | 1 Baltimore Pl Nw Ste 160, Atlanta, GA 30308-2118 | 2013-07-25 |
1750638581 | Katherine Y. Sasser | Lactation Consultant, Non-RN | 2538 Skyland Trl Ne, Atlanta, GA 30319-3737 | 2012-08-10 |
1255629713 | Claire Cutler Eden | Lactation Consultant, Non-RN | 1015 Seaboard Ave Nw, Atlanta, GA 30318-3048 | 2011-07-19 |
1912293101 | Leah S. Aldridge | Lactation Consultant, Non-RN | 951 W Conway Dr Nw, Atlanta, GA 30327-3637 | 2011-06-26 |
1306469275 | Highland Lactation, LLC | Lactation Consultant, Non-RN | 754 Virginia Cir Ne, Atlanta, GA 30306-3712 | 2020-05-26 |
1558844308 | Nakaiya Birthfield | Lactation Consultant, Non-RN | 622 Kimberly Ln Ne, Atlanta, GA 30306-2225 | 2018-09-07 |
1104275759 | Molly Parker | Lactation Consultant, Non-RN | 2024 Powers Ferry Rd Se, Suite 201, Atlanta, GA 30339-5011 | 2016-06-05 |
Find all providers in ATLANTA |
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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.