Active NPI
Modern Mama Lactation Consulting
- Lactation Consultant (Registered Nurse)
- Durham, NC
National Provider Identifier
1124447784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-32748
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192998 | Other | NC | RN LICENSE |
| L-32748 | Other | NC | IBCLC |
National Provider Directory
National Provider DirectoryNPI 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.