Organization Active NPI

Amaryllis Lactation Support LLC

  • Lactation Consultant (Non-RN)
  • Canterbury, CT
National Provider Identifier
1255038410
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
AMARYLLIS LACTATION SUPPORT LLC
Practice address
31 Hoopers LN
Canterbury, CT 06331-1467
Phone
(860) 908-3500
NPI assigned
Feb 8, 2023
Last updated
Feb 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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

Authorized official

Name
Erinn TanguayNPI 1588324032
Title
Owner
Phone
(860) 908-3500

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 (Non-RN) 174N00000X NU Primary

Addresses

Primary practice location

31 Hoopers LN
Canterbury, CT 06331-1467

Mailing address

31 Hoopers LN
Canterbury, CT 06331-1467

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, 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": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676073600000",
    "number": "1255038410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOOPERS LN",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HOOPERS LN",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311467",
            "telephone_number": "860-908-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARYLLIS LACTATION SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A",
        "authorized_official_last_name": "TANGUAY",
        "authorized_official_first_name": "ERINN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-908-3500"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.