Nourish Lactation

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

NOURISH LACTATION

Practice address

19820 Village Office CT Ste 201
Bend, OR 97702-2949

Phone

(541) 306-4299

NPI assigned

Jan 10, 2020

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooke Borgognoni, IBCLCNPI 1407242290

Title

Owner

Phone

(541) 306-4299

Specialties & licenses 6

Addresses

Practitioners 1

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.

• Brooke Borgognoni

  • Lactation Consultant (Non-RN)
  • Bend, OR
  • NPI 1407242290

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1083254676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19334 MOHAWK RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977028908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 VILLAGE OFFICE CT STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022949",
            "telephone_number": "541-306-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "BORGOGNONI",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-306-4299",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Youth Discovery
• Northwest Youth Discovery
• Amy J Nortrom, LPC
• Susie Nosler
• Jessica Notebaart
• Linda C Novak, M.D.
• Meagan Lynn Novak
• Erin R Novelli, PT
• Amelia J Nugent, DO
• Nurse With Sarah LLC

• Lactation Consultant (Non-RN) in Bend, OR
• Providers in Bend, OR by specialty
• Lactation Consultant (Non-RN) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.