Organization Active NPI

Pikes Peak Lactation

  • Lactation Consultant (Registered Nurse)
  • Colorado Springs, CO
National Provider Identifier
1023740685
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
PIKES PEAK LACTATION
Practice address
521 W Ramona Ave
Colorado Springs, CO 80905-2031
Phone
(719) 321-6143
Fax
(719) 960-3068
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Mary M Enger, RN, BSN, IBCLC
Title
Owner, Lactation Consultant
Phone
(719) 321-6143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X Primary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X

Addresses

Primary practice location

521 W Ramona Ave
Colorado Springs, CO 80905-2031

Mailing address

521 W Ramona Ave
Colorado Springs, CO 80905-2031
Phone (719) 321-6143

Other practice location 1

4004 Mallow Rd
Colorado Springs, CO 80907-4407
Phone (719) 235-1127

Other names 1

  • Pikes Peak Lactation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pikes Peak Lactation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1023740685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W RAMONA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809052031",
            "telephone_number": "719-321-6143",
            "fax_number": "719-960-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W RAMONA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809052031",
            "telephone_number": "719-321-6143",
            "fax_number": "719-960-3068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 Mallow Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809074407",
            "country_code": "US",
            "telephone_number": "719-235-1127",
            "fax_number": "719-960-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIKES PEAK LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "M ENGER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER, LACTATION CONSULTANT",
        "authorized_official_telephone_number": "719-321-6143",
        "authorized_official_credential": "RN, BSN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikes Peak Lactation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.