MRS. CANDYSE ANNE MATASSA (NPI# 1801495296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801495296 |
| Entity Type | Individual |
| Full Name | MRS. CANDYSE ANNE MATASSA |
| Credential | IBCLC |
| Practice Address |
5848 Menlo Dr Baton Rouge LA 70808-5047 |
| Mailing Address |
18201 Pine Ridge Dr Prairieville LA 70769-3473 |
| Practice Telephone | 2253412411 |
| Mailing Telephone | 2256109217 |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-108612 | LA | Other Service Providers |
| Street Address |
5848 MENLO DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376166041 | Lindsy Cordell | Registered Nurse | 5848 Menlo Dr, Baton Rouge, LA 70808-5047 | 2020-05-28 |
| 1659985174 | Abigail Rose Kimbel | Doula | 5848 Menlo Dr, Baton Rouge, LA 70808-5047 | 2020-09-02 |
| 1851905533 | Kaleigh Allyn Carroll | Doula | 5848 Menlo Dr, Baton Rouge, LA 70808-5047 | 2020-09-01 |
| 1316559040 | Stork Maternity Consulting | Registered Nurse | 5848 Menlo Dr, Baton Rouge, LA 70808-5047 | 2020-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| 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 |
|---|---|---|---|---|
| 1568946630 | Clair Hollins Mccoy | Lactation Consultant, Non-RN | 9363 Pecan Tree Dr, Baton Rouge, LA 70810-0700 | 2018-09-24 |
| 1942748058 | Christen Anders | Lactation Consultant, Non-RN | 4865 Sweetbriar St, Baton Rouge, LA 70808-8660 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1659885580 | Chelsey Lee Leruth | Lactation Consultant, Non-RN | 2121 Octavia St, New Orleans, LA 70115-5655 | 2017-11-30 |
| 1285158121 | Evon Marie Lavergne | Lactation Consultant, Non-RN | 1412 Sunset Dr, Lake Charles, LA 70607-3634 | 2017-08-02 |
| 1881139707 | Kristian Billiot | Lactation Consultant, Non-RN | 122 Cawthorn Dr, Slidell, LA 70458-1554 | 2017-01-01 |
| 1487904686 | Bethany Willis | Lactation Consultant, Non-RN | 2114 Spring Dr, Haynesville, LA 71038-5518 | 2012-09-14 |
| 1649828310 | Courtney Lee Deitch | Lactation Consultant, Non-RN | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-08-27 |
| 1447768312 | Jana Suzanne Mcdonald | Lactation Consultant, Non-RN | 5027 Paris Ave, New Orleans, LA 70122-2538 | 2018-01-12 |
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.