ANDREA LYNN JORGENSEN-PERRY (NPI# 1902305667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902305667 |
| Entity Type | Individual |
| Full Name | ANDREA LYNN JORGENSEN-PERRY |
| Other Name | ANDREA JORGENSEN |
| Credential | IBCLC |
| Practice Address |
85 Glenellen Rd West Roxbury MA 02132-5107 |
| Practice Telephone | 9783601009 |
| Mailing Telephone | 9783601009 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IBLCE | L-33942 | 01 |
| Street Address |
85 GLENELLEN RD |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| 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 |
|---|---|---|---|---|
| 1588201487 | Charlene Cynthia Fraser | Lactation Consultant, Non-RN | 139 River St Apt 1, Boston, MA 02126-3039 | 2019-12-10 |
| 1275181950 | Alexis Jette Jette | Lactation Consultant, Non-RN | 208 Concord Rd, Lincoln, MA 01773-5115 | 2019-08-27 |
| 1144788787 | Margo Jones | Lactation Consultant, Non-RN | 1053 Beacon St, Brookline, MA 02446-5610 | 2019-03-02 |
| 1275097610 | Catherine Roy | Lactation Consultant, Non-RN | 5 Clement St, Sandwich, MA 02563-2139 | 2019-01-30 |
| 1194299628 | Alison Miranda | Lactation Consultant, Non-RN | 1380 Wilbur Ave, Swansea, MA 02777-2163 | 2019-01-17 |
| 1851862411 | Lauren Rae Gaudet | Lactation Consultant, Non-RN | 100 Cummings Ctr Ste 435f, Beverly, MA 01915-6132 | 2018-12-07 |
| 1689178857 | Moryn Mendoza | Lactation Consultant, Non-RN | 258 Ashley St, West Springfield, MA 01089-3060 | 2018-03-21 |
| 1548769201 | Danielle M Baez | Lactation Consultant, Non-RN | 33 Guild Rd, Worcester, MA 01602-1422 | 2018-02-08 |
| 1922511336 | Aisling Perry | Lactation Consultant, Non-RN | 153 Center St, Ashburnham, MA 01430-1610 | 2017-11-07 |
| 1821508599 | Rachel Gayle Mcglauflin | Lactation Consultant, Non-RN | 18 Glen Road, Topsfield, MA 01983 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | WEST ROXBURY |
| Zip Code | 02132 |
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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.