Wild Milk PLLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

WILD MILK PLLC

Practice address

4946 E Sawmill Way
Boise, ID 83716-6700

Phone

(209) 765-2399

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Maureen Legaspi, RN, IBCLCNPI 1396570560

Title

Owner

Phone

(310) 989-4820

Specialties & licenses 1

Addresses

Other names 1

• Wild Milk Co. Doing business as

Practitioners 2

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

• Maureen Christine Legaspi, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Star, ID
  • NPI 1396570560
  NPD Authorized official
• Kristin Marsh, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Boise, ID
  • NPI 1437984754
  NPD

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1205658945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10960 W THREADGRASS ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836696334",
            "telephone_number": "310-989-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 E SAWMILL WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837166700",
            "telephone_number": "209-765-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD MILK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "LEGASPI",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-989-4820",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Milk Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamison Wiggins, LMSW
• Emery Wight, LMSW
• Wil'S Transit
• Melissa Wilburn
• Wild Heart Living
• Wild Sage Counseling & Wellness PLLC
• Randy Wild, LCPC
• Wildflower Intuitive Center, LLC
• Wildflower OBGYN LLC
• Wildflower Telehealth Network Inc.

• Lactation Consultant (Registered Nurse) in Boise, ID
• Providers in Boise, ID by specialty
• Lactation Consultant (Registered Nurse) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.