Organization Active NPI

Wonderlove Lactation Services

  • Lactation Consultant (Registered Nurse)
  • Roswell, GA
National Provider Identifier
1285496166
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
WONDERLOVE LACTATION SERVICES
Practice address
1285 Hembree Rd Ste 100
Roswell, GA 30076-5715
Phone
(404) 449-5595
Fax
(833) 269-3532
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Sophia K Sarris, RN BSN IBCLCNPI 1548776586
Title
Owner Lactation Consultant
Phone
(404) 449-5955

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 (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

1285 Hembree Rd Ste 100
Roswell, GA 30076-5715

Mailing address

2775 Northbrook Dr
Atlanta, GA 30340-4923
Phone (404) 449-5595

Other practice location 1

2775 Northbrook Dr
Atlanta, GA 30340-4923
Phone (404) 449-5595

Other identifiers 2

IdentifierTypeStateIssuer
1497527774OtherGAINDIVIDUAL NPI
1548776585OtherGAINDIVIDUAL NPI

Other names 1

  • Wonderlove Lactation Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1285496166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 NORTHBROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404923",
            "telephone_number": "404-449-5595",
            "fax_number": "833-269-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765715",
            "telephone_number": "404-449-5595",
            "fax_number": "833-269-3532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 Northbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303404923",
            "country_code": "US",
            "telephone_number": "404-449-5595",
            "fax_number": "833-269-3532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WONDERLOVE LACTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "SARRIS",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER LACTATION CONSULTANT",
        "authorized_official_telephone_number": "404-449-5955",
        "authorized_official_credential": "RN BSN IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497527774",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1548776585",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderlove Lactation Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wonderlove Lactation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.