Organization Active NPI

Bright Star Lactation

  • Lactation Consultant (Non-RN)
  • Corvallis, OR
National Provider Identifier
1003634122
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
BRIGHT STAR LACTATION
Practice address
1435 NW Greenwood PL
Corvallis, OR 97330-1827
Phone
(541) 231-2671
NPI assigned
Sep 27, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Bliss, OHD IBCLCNPI 1356006233
Title
Lactation Consultant
Phone
(541) 231-2671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X NU Primary

Addresses

Primary practice location

1435 NW Greenwood PL
Corvallis, OR 97330-1827

Mailing address

1435 NW Greenwood PL
Corvallis, OR 97330-1827
Phone (541) 231-2671

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1003634122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 NW GREENWOOD PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301827",
            "telephone_number": "541-231-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 NW GREENWOOD PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301827",
            "telephone_number": "541-231-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "541-231-2671",
        "authorized_official_credential": "OHD IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.