NPIMap

Organization Active NPI

Premier Lactation Services, LLC

  • Lactation Consultant (Registered Nurse)
  • Centreville, VA
National Provider Identifier
1063749083
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
10999203 Issued in VA
Legal business name
PREMIER LACTATION SERVICES, LLC
Practice address
5533 Belle Pond Dr
Centreville, VA 20120-1640
Phone
(571) 722-6450
Fax
(571) 778-5048
NPI assigned
Nov 11, 2009
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Laura Marie McCarthy, RN-IBCLCNPI 1467859058
Title
Owner Premier Lactation Services
Phone
(571) 722-6450

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 10999203 VA Primary

Addresses

Primary practice location

5533 Belle Pond Dr
Centreville, VA 20120-1640

Mailing address

5533 Belle Pond Dr
Centreville, VA 20120-1640
Phone (571) 722-6450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1063749083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 BELLE POND DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201640",
            "telephone_number": "571-722-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 BELLE POND DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201640",
            "telephone_number": "571-722-6450",
            "fax_number": "571-778-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LACTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER PREMIER LACTATION SERVICES",
        "authorized_official_telephone_number": "571-722-6450",
        "authorized_official_credential": "RN-IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "10999203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.