Active NPI
Bright Star Lactation
- Lactation Consultant (Non-RN)
- Corvallis, OR
National Provider Identifier
1003634122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Bliss, OHD IBCLC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.