Nastassia Davis, MSN, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

26NR15908000 Issued in NJ

Practice address

36 Randolph PL
West Orange, NJ 07052-4808

Phone

(914) 882-9475

Fax

(973) 860-2220

NPI assigned

Apr 21, 2016

Last updated

Apr 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nastassia K. Enterprises

  dba Latch Breastfeeding and Lactation Services

  • Lactation Consultant (Registered Nurse)
  • Orange, NJ
  • NPI 1033637160
  NPD (past) Authorized official
• Perinatal Health Equity Foundation

  dba Perinatal Health Equity Initiative

  • Community Health Clinic/Center
  • East Orange, NJ
  • NPI 1992414239
  NPD

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1194179515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 CENTRAL AVE STE 213",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033921",
            "telephone_number": "973-488-7975",
            "fax_number": "973-860-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RANDOLPH PL",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524808",
            "telephone_number": "914-882-9475",
            "fax_number": "973-860-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NASTASSIA",
        "credential": "MSN, RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "558884",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "26NR15908000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Davidson, DPM
• Cryshedia NA'Imah Davis
• Joel F Davis, DDS
• Marlene Phyllis Davis, MSW MED MA
• Michael Davis, LPC, BCPC
• Christina B Davitt, APN
• Medhat Dawoud, DMD
• Melissa De Gannes
• Adria De Simone, MS, CRC, LAC, CBIS
• Dia Deangelis

• Lactation Consultant (Registered Nurse) in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Lactation Consultant (Registered Nurse) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; 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.