IMANI SADE MALLARD RN, IBCLC - NPI 1285511683 - Registered Nurse in Washington, DC

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.

On this page

About Imani Sade Mallard Rn, Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMANI SADE MALLARD RN, IBCLC (NPI 1285511683) is an individual lactation consultant provider in Washington, District Of Columbia, licensed in Maryland (L-319151) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1285511683

Entity TypeIndividualFemale

Primary Taxonomy163WL0100X

Provider Legal NameIMANI SADE MALLARDCredential: RN, IBCLC

Location Address1020 19TH ST NW STE 150Washington, DC 20036-6103

Mailing Address10945 Price Manor WayLaurel, MD 20723-6036

Phone(202) 293-5182

Sole ProprietorNo

Enumeration DateAugust 18, 2025

NPPES CertifiedAugust 18, 2025

✔ NPI 1285511683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers

Taxonomy Code163WL0100X

License✔ Licensed in MD · L-319151

Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License R254502 (MD)

Also ListedRegistered Nurse · Neonatal, Low-RiskTaxonomy 163WN0003X · License RN500016940 (DC)

1020 19TH ST NW STE 150, Washington, DC 20036

Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISABELA LESSA MPH, IBCLC

Lactation Consultant, Non-RN