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REBECCA GRAVENOR IBCLC
NPI 1356976906
Lactation Consultant, Non-RN in Mardela Springs, MD

Active since March 04, 2020
8077 BAPTIST CHURCH RD, MARDELA SPRINGS, MD 21837(443) 523-6373(443) 354-1853 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2020, Mar 4, 2020 (2 updates tracked since 2020).

About Rebecca Gravenor Ibclc NPPES

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

REBECCA GRAVENOR IBCLC (NPI 1356976906) is an individual lactation consultant, non-rn provider in Mardela Springs, Maryland, licensed in Maryland (L-134914) and active in the NPI registry since March 2020. She maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1356976906
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameREBECCA GRAVENORCredential: IBCLC
Location Address8077 BAPTIST CHURCH RDMardela Springs, MD 21837-2421
Mailing AddressPo Box 316Mardela Springs, MD 21837-0316 · (443) 523-6373 · Fax (443) 354-1853
Phone(443) 523-6373
Fax(443) 354-1853
Sole ProprietorNo
Enumeration DateMarch 4, 2020
Last NPPES UpdateMay 6, 20202 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1356976906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in MD · L-134914
Definition
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.
8077 BAPTIST CHURCH RD, Mardela Springs, MD 21837
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Secondary Practice Location 1

Location 12324 N Zion Rd Ste 111Salisbury, MD 21801-2574 · Phone (443) 944-8891

Other Providers at the Same Location NPPES

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

THE VILLAGE LACTATION
Lactation Consultant, Non-RN
8077 BAPTIST CHURCH RD
MARDELA SPRINGS, MD 21837
Wicomico County (443) 266-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Gravenor's NPI number?

The NPI number for Rebecca Gravenor is 1356976906. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Rebecca Gravenor located?

Rebecca Gravenor practices at 8077 Baptist Church Rd, Mardela Springs, MD 21837. The listed phone number is (443) 523-6373.

What is Rebecca Gravenor's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Rebecca Gravenor was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.