Organization Active NPI

Snohomish Valley Breastfeeding

  • Lactation Consultant (Non-RN)
  • Monroe, WA
National Provider Identifier
1013451749
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
SNOHOMISH VALLEY BREASTFEEDING
Practice address
24928 Old Pipeline Rd
Monroe, WA 98272-9861
Phone
(253) 350-5123
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Shannon N Demiter, IBCLCNPI 1710518485
Title
Owner
Phone
(253) 350-5123

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)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

24928 Old Pipeline Rd
Monroe, WA 98272-9861

Mailing address

17928 105TH St SE
Snohomish, WA 98290-2137
Phone (253) 350-5123

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.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1013451749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17928 105TH ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902137",
            "telephone_number": "253-350-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24928 OLD PIPELINE RD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729861",
            "telephone_number": "253-350-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOHOMISH VALLEY BREASTFEEDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "DEMITER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-350-5123",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.