Organization Active NPI

Fabulous Birth Support

  • Lactation Consultant (Non-RN)
  • New York, NY
National Provider Identifier
1033596259
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
FABULOUS BIRTH SUPPORT
Practice address
2655 8TH Ave
Apt 4N
New York, NY 10030-1536
Phone
(562) 774-3289
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Ms. Alison Wonderland Bacich, CLC
Title
Founding Director and Doula
Phone
(562) 774-3289

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

2655 8TH Ave
Apt 4N
New York, NY 10030-1536

Mailing address

2655 8TH Ave
Apt 4N
New York, NY 10030-1536
Phone (562) 774-3289

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1033596259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 8TH AVE",
            "address_2": "APT 4N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301536",
            "telephone_number": "562-774-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 8TH AVE",
            "address_2": "APT 4N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301536",
            "telephone_number": "562-774-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABULOUS BIRTH SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "BACICH",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "WONDERLAND",
        "authorized_official_title_or_position": "FOUNDING DIRECTOR AND DOULA",
        "authorized_official_telephone_number": "562-774-3289",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.