Heirloom Lactation, LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

HEIRLOOM LACTATION, LLC

Practice address

96 Turner Hill Rd
Averill Park, NY 12018-4020

Phone

(925) 989-9748

Fax

(518) 650-1914

NPI assigned

Oct 9, 2025

Organization subpart

No

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

Authorized official

Name

Cara P Banks, IBCLCNPI 1962116863

Title

Lactation Consultant, Owner

Phone

(925) 989-9748

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cara Petrella Banks, IBCLC

  • Lactation Consultant (Non-RN)
  • Averill Park, NY
  • NPI 1962116863

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1053286013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 TURNER HILL RD",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120184020",
            "telephone_number": "925-989-9748",
            "fax_number": "518-650-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 TURNER HILL RD",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120184020",
            "telephone_number": "925-989-9748",
            "fax_number": "518-650-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIRLOOM LACTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LACTATION CONSULTANT, OWNER",
        "authorized_official_telephone_number": "925-989-9748",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey R. Gamache DDS PLLC
• Evelynn Ginsburg, RPH
• Amber D Gray, MS, RDN, CDN, CLC
• Kerry Gully, MS, CCC/SLP
• Michele Haggerty
• Deborah Ann Hildreth, RPA-C
• Robert Halford Hill II, DDS
• Marybeth Ripp Hollinger
• Linda J Jones, RN
• Katelee Juliano, RN

• Lactation Consultant (Non-RN) in Averill Park, NY
• Providers in Averill Park, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.