NPIMap

Organization Active NPI

Ancient Roots Midwifery & Doula Care

Doing business as New River Lactation

  • Lactation Consultant (Non-RN)
  • Floyd, VA
National Provider Identifier
1083981625
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
ANCIENT ROOTS MIDWIFERY & DOULA CARE
Doing business as
New River Lactation
Practice address
829 Bethlehem Church Rd NE
Floyd, VA 24091-2256
Phone
(540) 285-0067
NPI assigned
Nov 28, 2011
Last updated
Dec 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Tara Daystar, BA, IBCLC, CPMNPI 1598039026
Title
Lactation Consultant
Phone
(540) 285-0067

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 0129000069 VA

Addresses

Primary practice location

829 Bethlehem Church Rd NE
Floyd, VA 24091-2256

Mailing address

829 Bethlehem Church Rd NE
Floyd, VA 24091-2256
Phone (540) 285-0067

Other names 1

  • New River Lactation Doing business as

National Provider Directory

National Provider Directory

Locations

829 Bethlehem Church Rd NE
Floyd, VA 24091
Phone (540) 285-0067

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1083981625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 BETHLEHEM CHURCH RD NE",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240912256",
            "telephone_number": "540-285-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 BETHLEHEM CHURCH RD NE",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240912256",
            "telephone_number": "540-285-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCIENT ROOTS MIDWIFERY & DOULA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "DAYSTAR",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "540-285-0067",
        "authorized_official_credential": "BA, IBCLC, CPM"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New River Lactation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floyd, VA

Sources for this page

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