Serenity Breastfeeding Support LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-108255 Issued in AR

Legal business name

SERENITY BREASTFEEDING SUPPORT LLC

Practice address

6385 Walnut CV
Benton, AR 72019-1511

Phone

(501) 554-5550

Fax

(501) 613-0391

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Tanya Smith, BA, IBCLCNPI 1568982817

Title

Owner

Phone

(501) 725-1275

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tanya Smith, BA, IBCLC

  • Lactation Consultant (Non-RN)
  • Benton, AR
  • NPI 1568982817

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336660604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 WALNUT CV",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720191511",
            "telephone_number": "501-554-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 WALNUT CV",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720191511",
            "telephone_number": "501-554-5550",
            "fax_number": "501-613-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BREASTFEEDING SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-725-1275",
        "authorized_official_credential": "BA, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AR",
            "license": "L-108255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in Benton, AR
• Providers in Benton, AR by specialty
• Lactation Consultant (Non-RN) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.