Organization Active NPI

Milky Mama

  • Lactation Consultant (Registered Nurse)
  • Rancho Cucamonga, CA
National Provider Identifier
1245747914
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
818893 Issued in CA
Legal business name
MILKY MAMA
Practice address
10722 Arrow Rte Ste 104
Rancho Cucamonga, CA 91730-4809
Phone
(877) 886-4559
NPI assigned
Jan 3, 2018
Last updated
Apr 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Krystal N Duhaney, RN, BSN, IBCLCNPI 1750917530
Title
Ceo
Phone
(951) 347-8730

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X 818893 CA Primary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X

Addresses

Primary practice location

10722 Arrow Rte Ste 104
Rancho Cucamonga, CA 91730-4809

Mailing address

10722 Arrow Rte Ste 104
Rancho Cucamonga, CA 91730-4809
Phone (877) 886-4559

National Provider Directory

National Provider Directory

Locations

10722 Arrow Rte
Ste 104
Rancho Cucamonga, CA 91730
Phone (877) 886-4559

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1245747914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304809",
            "telephone_number": "877-886-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304809",
            "telephone_number": "877-886-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILKY MAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "DUHANEY",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-347-8730",
        "authorized_official_credential": "RN, BSN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "818893",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.