JOHANNA AIDA VANDEMOORTELE (NPI# 1831662709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831662709 |
| Entity Type | Individual |
| Full Name | JOHANNA AIDA VANDEMOORTELE |
| Credential | IBCLC |
| Practice Address |
3981 Beethoven St Los Angeles CA 90066-4144 |
| Practice Telephone | 3107450177 |
| Mailing Telephone | 3107450177 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 138466 | Other Service Providers |
| Street Address |
3981 BEETHOVEN ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| 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 |
|---|---|---|---|---|
| 1073149084 | Tina Marie Paschen | Lactation Consultant, Non-RN | 1752 Kelton Ave, Los Angeles, CA 90024-5508 | 2020-03-21 |
| 1811527179 | Odelia Marciano | Lactation Consultant, Non-RN | 6400 Hayes Dr, Los Angeles, CA 90048-5318 | 2020-01-24 |
| 1164061206 | Sarah Siebold | Lactation Consultant, Non-RN | 537 N Las Palmas Ave, Los Angeles, CA 90004-1017 | 2020-01-06 |
| 1457905739 | Lieba Devorah Baitelman | Lactation Consultant, Non-RN | 1739 Preuss Rd, Los Angeles, CA 90035-4311 | 2019-07-25 |
| 1225513112 | Yasmin Dera Baskin | Lactation Consultant, Non-RN | 531 N Rossmore Ave Apt 201, Los Angeles, CA 90004-2434 | 2018-09-26 |
| 1912412016 | Jennifer Gutierrez Lezak | Lactation Consultant, Non-RN | 2280 W 28th St, Los Angeles, CA 90018-2532 | 2017-12-11 |
| 1639683477 | Julie Matheney | Lactation Consultant, Non-RN | 1922 N Las Palmas Ave, Los Angeles, CA 90068-4101 | 2017-11-30 |
| 1790226496 | Lora Luczywo | Lactation Consultant, Non-RN | 8326 Truxton Ave, Los Angeles, CA 90045-3931 | 2017-03-14 |
| 1205296654 | Valerie Jespersen-wheat | Lactation Consultant, Non-RN | 851 Masselin Ave, Los Angeles, CA 90036-4721 | 2016-02-27 |
| 1043683808 | Lindsey Thompson | Lactation Consultant, Non-RN | 626 Veteran Ave Apt D, Los Angeles, CA 90024-1984 | 2015-11-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on JOHANNA AIDA VANDEMOORTELE.
| 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.