Active NPI
Maternal Wellness, LLC
- Lactation Consultant (Non-RN)
- Roseville, CA
National Provider Identifier
1053023747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Legal business name
- MATERNAL WELLNESS, LLC
- Practice address
- 1079 Sunrise Ave Ste B223
Roseville, CA 95661-7009 - Phone
- (844) 693-7689
- NPI assigned
- Dec 14, 2022
- 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
- Chavonna Green
- Title
- Founder
- Phone
- (844) 693-7689
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
1079 Sunrise Ave Ste B223
Roseville, CA 95661-7009
Mailing address
1079 Sunrise Ave Ste B223
Roseville, CA 95661-7009
Phone (844) 693-7689
National Provider Directory
National Provider DirectoryLocations
1079 Sunrise Ave
Ste B223
Roseville, CA 95661
Phone (844) 693-7689
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Roseville, CA
- NPI 1346952033
-
- Doula
- Roseville, CA
- NPI 1972203248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1053023747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 SUNRISE AVE STE B223",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617009",
"telephone_number": "844-693-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 SUNRISE AVE STE B223",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617009",
"telephone_number": "844-693-7689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATERNAL WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "CHAVONNA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "844-693-7689"
},
"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 Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.