IndividualActive
Theresa Madoun, RN, BSN, IBCLC
NPI 1790392959 · Lactation Consultant (Registered Nurse) · West Bloomfield, MI
Provider details
- NPI number
- 1790392959
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, BSN, IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704321895 (MI)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3362 Parkland Dr
West Bloomfield, MI 48322-1828
Phone: (248) 425-0702
Street-level locationGet directions
Mailing address
3362 Parkland Dr
West Bloomfield, MI 48322-1828
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.