Active NPI
Loveblossom, LLC
- Clinic/Center
- La Conner, WA
National Provider Identifier
1376297044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LOVEBLOSSOM, LLC
- Practice address
- 17307 Snee Oosh Rd
La Conner, WA 98257-9112 - Phone
- (907) 738-4507
- NPI assigned
- Feb 10, 2022
- Last updated
- Feb 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon A Sullivan, IBCLC, RNC-OB
- Title
- Lactation Consultant
- Phone
- (907) 738-4507
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
17307 Snee Oosh Rd
La Conner, WA 98257-9112
Mailing address
17307 Snee Oosh Rd
La Conner, WA 98257-9112
Phone (907) 738-4507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699965392 | Other | NPI NUMBER, INDIVIDUAL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Lactation Consultant (Registered Nurse)
- La Conner, WA
- NPI 1699965392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1376297044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17307 SNEE OOSH RD",
"city": "LA CONNER",
"state": "WA",
"postal_code": "982579112",
"telephone_number": "907-738-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17307 SNEE OOSH RD",
"city": "LA CONNER",
"state": "WA",
"postal_code": "982579112",
"telephone_number": "907-738-4507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVEBLOSSOM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LACTATION CONSULTANT",
"authorized_official_telephone_number": "907-738-4507",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "IBCLC, RNC-OB"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER, INDIVIDUAL",
"identifier": "1699965392",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Conner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.