Nastassia K. Enterprises

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

26NR1590800 Issued in NJ

Legal business name

NASTASSIA K. ENTERPRISES

Practice address

485 Park Ave
Orange, NJ 07050-1721

Phone

(973) 488-7975

NPI assigned

Sep 9, 2017

Organization subpart

No

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

Authorized official

Name

Nastassia K Davis, MSN, RNC, IBCLCNPI 1194179515

Title

Owner/Ibclc

Phone

(973) 488-7975

Specialties & licenses 2

Addresses

Other names 1

• Latch Breastfeeding and Lactation Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nastassia Davis, MSN, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • West Orange, NJ
  • NPI 1194179515
  NPD (past) Authorized official

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

{
    "created_epoch": "1504915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1033637160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RANDOLPH PL",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 PARK AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501721",
            "telephone_number": "973-488-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASTASSIA K. ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NASTASSIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/IBCLC",
        "authorized_official_telephone_number": "973-488-7975",
        "authorized_official_credential": "MSN, RNC, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "26NR1590800",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NJ",
            "license": "26NR1590800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latch Breastfeeding and Lactation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Montero Vallejo
• Jestina Mae Morgan
• Morris Podiatry Associates, PA
• Hawwa Muhammad
• Ziyadah N Muhammad
• National Mentor Healthcare, LLC
• Neighbours-Inc
• New Essecare of NJ LLC
• New Essecare of NJ, LLC
• New Jersey Podiatric Physicians & Surgeons Group, LLC

• Lactation Consultant (Registered Nurse) in Orange, NJ
• Providers in Orange, NJ by specialty
• Lactation Consultant (Registered Nurse) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.