Perfectly Made Lactation, LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

PERFECTLY MADE LACTATION, LLC

Practice address

27457 Beacon Rd
Melfa, VA 23410-3367

Phone

(757) 709-4444

NPI assigned

Apr 23, 2025

Last updated

Apr 23, 2025By 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

Decola Custis, RN, IBCLCNPI 1962235804

Title

Owner

Phone

(757) 709-4444

Specialties & licenses 1

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.

• Decola Custis, BSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Melfa, VA
  • NPI 1962235804
  NPD Authorized official

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1144017187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27457 BEACON RD",
            "city": "MELFA",
            "state": "VA",
            "postal_code": "234103367",
            "telephone_number": "757-709-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27457 BEACON RD",
            "city": "MELFA",
            "state": "VA",
            "postal_code": "234103367",
            "telephone_number": "757-709-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECTLY MADE LACTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "CUSTIS",
        "authorized_official_first_name": "DECOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-709-4444",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Melfa, VA
• Providers in Melfa, VA by specialty
• Lactation Consultant (Registered Nurse) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.