Organization Active NPI

Kmak Breastfeeding Support Service LLC

  • Lactation Consultant (Registered Nurse)
  • Centennial, CO
National Provider Identifier
1083049100
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
KMAK BREASTFEEDING SUPPORT SERVICE LLC
Practice address
7431 S Ivy Way
Centennial, CO 80112-1509
Phone
(720) 219-2994
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Marianne Elizabeth KmakNPI 1922345685
Title
RN, BSN, Ibclc
Phone
(720) 219-2994

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)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

7431 S Ivy Way
Centennial, CO 80112-1509

Mailing address

7431 S Ivy Way
Centennial, CO 80112-1509
Phone (720) 219-2994

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1083049100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 S IVY WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121509",
            "telephone_number": "720-219-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 S IVY WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121509",
            "telephone_number": "720-219-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMAK BREASTFEEDING SUPPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "KMAK",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "RN, BSN, IBCLC",
        "authorized_official_telephone_number": "720-219-2994"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.