Organization Active NPI

Maternal Wellness, LLC

  • Lactation Consultant (Non-RN)
  • Roseville, CA
National Provider Identifier
1053023747
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
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

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Chavonna GreenNPI 1346952033
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)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.