Breastfeeding Guidance Center of Southwest Oklahoma

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

R0027885 Issued in OK

Legal business name

BREASTFEEDING GUIDANCE CENTER OF SOUTHWEST OKLAHOMA

Practice address

711 SW D Ave
Suite 207
Lawton, OK 73501-4561

Phone

(580) 591-3817

NPI assigned

Jun 30, 2009

Last updated

Jun 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie Carole Gilliland, RN BSN IBCLCNPI 1750569851

Title

Registered Agent for the LLC

Phone

(580) 591-3817

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jackie Carole Gilliland, RN BSN IBCLC

  • Lactation Consultant (Registered Nurse)
  • Lawton, OK
  • NPI 1750569851
  NPD (past) Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1326276189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 NW STONEBRIDGE CT",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054127",
            "telephone_number": "580-536-3743",
            "fax_number": "580-536-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SW D AVE",
            "address_2": "SUITE 207",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014561",
            "telephone_number": "580-591-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREASTFEEDING GUIDANCE CENTER OF SOUTHWEST OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "CAROLE",
        "authorized_official_title_or_position": "REGISTERED AGENT FOR THE LLC",
        "authorized_official_telephone_number": "580-591-3817",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN IBCLC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "R0027885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749570S",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Brag
• Amy M Braly, BS
• Brandon K Ross OD PC
• Patricia Brandon, PH.D.
• Tiffany Lynn Brantley
• Jacquelyn Breaux, CRNA
• Kimmy Renea Breckenridge, LPN
• Ashley Nicole Bredy, DC
• Jodi Breeden
• Brooke A Brehm, RBT

• Clinic/Center in Lawton, OK
• Providers in Lawton, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.