Organization Active NPI

Loveblossom, LLC

  • Clinic/Center
  • La Conner, WA
National Provider Identifier
1376297044
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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-OBNPI 1699965392
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1699965392OtherNPI NUMBER, INDIVIDUAL

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.