Organization Active NPI

Modern Mama Lactation Consulting

  • Lactation Consultant (Registered Nurse)
  • Durham, NC
National Provider Identifier
1124447784
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-32748 Issued in NC
Legal business name
MODERN MAMA LACTATION CONSULTING
Practice address
2807 Mebane LN
Durham, NC 27703-7986
Phone
(919) 413-1782
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Mrs. Jennifer Lynn Majors, RN, IBCLC
Title
Registered Lactation Consultant
Phone
(919) 413-1782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X L-32748 NC Primary

Addresses

Primary practice location

2807 Mebane LN
Durham, NC 27703-7986

Mailing address

2807 Mebane LN
Durham, NC 27703-7986
Phone (919) 413-1782

Other identifiers 2

IdentifierTypeStateIssuer
192998OtherNCRN LICENSE
L-32748OtherNCIBCLC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1124447784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 MEBANE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037986",
            "telephone_number": "919-413-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 MEBANE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037986",
            "telephone_number": "919-413-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MAMA LACTATION CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "MAJORS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED LACTATION CONSULTANT",
        "authorized_official_telephone_number": "919-413-1782",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "L-32748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "192998",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L-32748",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.