Organization Active NPI

Tennessee Valley Lactation Support, LLC

  • Lactation Consultant (Registered Nurse)
  • Toney, AL
National Provider Identifier
1275297756
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
TENNESSEE VALLEY LACTATION SUPPORT, LLC
Practice address
984 Beaver Dam Road
Toney, AL 35773
Phone
(518) 867-2852
Fax
(256) 542-1962
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Karin Treski
Title
Owner/Administrative Director
Phone
(518) 867-2852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X Primary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X

Addresses

Primary practice location

984 Beaver Dam Road
Toney, AL 35773

Mailing address

984 Beaver Dam Road
Toney, AL 35773
Phone (518) 867-2852

National Provider Directory

National Provider Directory

Locations

3809 Sullivan St
Ste 3
Madison, AL 35758
Phone (256) 325-0178

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1275297756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 BEAVER DAM ROAD",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "35773",
            "telephone_number": "518-867-2852",
            "fax_number": "256-542-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 BEAVER DAM ROAD",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "35773",
            "telephone_number": "518-867-2852",
            "fax_number": "256-542-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY LACTATION SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "TRESKI",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "518-867-2852"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toney, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.