Organization Active NPI

Staying Abreast Lactation Team LLC

Doing business as The SALT Boutique

  • Lactation Consultant (Registered Nurse)
  • Saint Joseph, MO
National Provider Identifier
1164944948
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-66864 Issued in MO
Legal business name
STAYING ABREAST LACTATION TEAM LLC
Doing business as
The SALT Boutique
Practice address
12320 SE State Route a
Saint Joseph, MO 64507-7413
Phone
(816) 294-5001
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Nicole E Halling, BSN, RN, IBCLCNPI 1295256279
Title
Lactation Consultant
Phone
(816) 294-5001

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X L-66864 MO Primary

Addresses

Primary practice location

12320 SE State Route a
Saint Joseph, MO 64507-7413

Mailing address

12320 SE State Route a
Saint Joseph, MO 64507-7413
Phone (816) 294-5001

Other names 1

  • The SALT Boutique Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164944948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 SE STATE ROUTE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077413",
            "telephone_number": "816-294-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 SE STATE ROUTE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077413",
            "telephone_number": "816-294-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYING ABREAST LACTATION TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALLING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "816-294-5001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MO",
            "license": "L-66864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The SALT Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.