Heather Green
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Cohoes, NY
NPI 1053260950 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1053260950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- ALPP-257284 (NY)
- Practice address
- 12 Bridget Cir
Cohoes, NY 12047-3822 - Phone
- (518) 380-1485
- NPI assigned
- Jan 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALPP-257284 | NY | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | ALPP-257284 | NY | Yes |
Addresses
Primary practice location
12 Bridget Cir
Cohoes, NY 12047-3822
Mailing address
12 Bridget Cir
Cohoes, NY 12047-3822
Phone (518) 380-1485
Other providers in Cohoes, NY
- Meagan Golden
- Kimberly Ann Goldup
- Isaiah Gonsalves
- Joely Marie Graber
- Cailyn Florence Green
- Erica Grim
- Courtney Anne Gumprecht
- Renu Gupta
- Kimberly Hammond
- Theresa Dooley Hance
All providers in Cohoes, NY · Lactation Consultant (Registered Nurse) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.