TERESA ANN MCCORMACK RN, IBCLC
NPI 1790240885
Registered Nurse - Lactation Consultant in San Diego, CA

Active since February 04, 2019
4443 30TH ST STE 205, SAN DIEGO, CA 92116(619) 312-1832 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2019, Feb 4, 2019 (2 updates tracked since 2019).

About Teresa Ann Mccormack Rn, Ibclc NPPES

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

TERESA ANN MCCORMACK RN, IBCLC (NPI 1790240885) is an individual lactation consultant provider in San Diego, California, licensed in California (784994) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1790240885
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameTERESA ANN MCCORMACKCredential: RN, IBCLC
Location Address4443 30TH ST STE 205San Diego, CA 92116-4291
Mailing Address9728 Marilla Dr Unit 205Lakeside, CA 92040-2853 · (858) 216-6257
Sole ProprietorNo
Enumeration DateFebruary 4, 2019
Last NPPES UpdateMarch 11, 20192 updates tracked since enumeration
NPI 1790240885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License Licensed in CA · 784994
4443 30TH ST STE 205, San Diego, CA 92116

Other Names 1

Former Name (1)Teresa Ann Mccormack Rn

Other Providers at the Same Location NPPES 5

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

Midwife
4443 30TH ST STE 205
SAN DIEGO, CA 92116
Lactation Consultant, Non-RN
4443 30TH ST STE 205
SAN DIEGO, CA 92116
Acupuncturist
4443 30TH ST STE 205
SAN DIEGO, CA 92116
Midwife
4443 30TH ST STE 205
SAN DIEGO, CA 92116
Registered Nurse (Lactation Consultant)
4443 30TH ST STE 205
SAN DIEGO, CA 92116

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 Teresa Mccormack's NPI number?

The NPI number for Teresa Mccormack is 1790240885. It was assigned to this individual provider in the NPPES registry on February 4, 2019. The provider is also known as Teresa Ann Mccormack Rn.

Where is Teresa Mccormack located?

Teresa Mccormack practices at 4443 30th St Ste 205, San Diego, CA 92116. The listed phone number is (619) 312-1832.

What is Teresa Mccormack's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Lactation Consultant, with taxonomy code 163WL0100X.

When was this NPI record last updated?

The NPPES record for Teresa Mccormack was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.