Tamara Naomi Thompson Moore, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

8 Straubel CT Ste 100
Madison, WI 53704-4104

Phone

(608) 535-9525

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1316438625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W380N6297 N LAKE RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665910",
            "telephone_number": "608-320-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 STRAUBEL CT STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044104",
            "telephone_number": "608-535-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON MOORE",
        "first_name": "TAMARA",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter L Thomas, DDS
• Didi Thomason, CPS
• Pauline R Thome, PHD
• Glen Allan Thommesen
• Thompson Dr LLC
• Thompson Pelvic Health and Physical Therapy LLC
• Adrienne F Thompson, M.D.
• Amber J Thompson, RYT
• Amelia Thompson, APNP
• Anne Demark Thompson

• Lactation Consultant (Non-RN) in Madison, WI
• Providers in Madison, WI by specialty
• Lactation Consultant (Non-RN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.