MARY WAGNER-DAVIS IBCLC
NPI 1649697475
Lactation Consultant, Non-RN in Roseville, CA

Q: What is Mary Wagner-davis's NPI number?

The NPI number for Mary Wagner-davis is 1649697475. It was assigned to this individual provider in the NPPES registry on March 18, 2014.

Q: What is Mary Wagner-davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Wagner-davis was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 18, 2014

604 FIFTEEN MILE DR, ROSEVILLE, CA 95678(916) 276-8016 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Wagner-davis Ibclc NPPES

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

MARY WAGNER-DAVIS IBCLC (NPI 1649697475) is an individual lactation consultant, non-rn provider in Roseville, California, licensed in California (10218838) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1649697475

Entity TypeIndividualFemale

Primary Taxonomy174N00000X

Provider Legal NameMARY WAGNER-DAVISCredential: IBCLC

Location Address604 FIFTEEN MILE DRRoseville, CA 95678-5921

Mailing AddressPo Box 176Roseville, CA 95661-0176 · (916) 276-8016

Phone(916) 276-8016

Sole ProprietorYes

Enumeration DateMarch 18, 2014

✔ NPI 1649697475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers

Taxonomy Code174N00000X

License✔ Licensed in CA · 10218838

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.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC23253 (CA)

604 FIFTEEN MILE DR, Roseville, CA 95678

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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 Mary Wagner-davis's NPI number?

The NPI number for Mary Wagner-davis is 1649697475. It was assigned to this individual provider in the NPPES registry on March 18, 2014.

Where is Mary Wagner-davis located?

Mary Wagner-davis practices at 604 Fifteen Mile Dr, Roseville, CA 95678. The listed phone number is (916) 276-8016.

What is Mary Wagner-davis'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 Mary Wagner-davis was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.