Organization Active NPI

Bosque Birth & Breastfeeding LLC

  • Lactation Consultant (Non-RN)
  • Albuquerque, NM
National Provider Identifier
1386137941
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-55665
Legal business name
BOSQUE BIRTH & BREASTFEEDING LLC
Practice address
1305 Blake Rd SW
Albuquerque, NM 87105-4779
Phone
(505) 221-6397
Fax
(505) 503-8097
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Ms. Sandra Jean Taylor, IBCLCNPI 1598160772
Title
Owner & Founder
Phone
(505) 221-6397

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
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X L-55665 Primary

Addresses

Primary practice location

1305 Blake Rd SW
Albuquerque, NM 87105-4779

Mailing address

1305 Blake Rd SW
Albuquerque, NM 87105-4779
Phone (505) 221-6397

Other identifiers 1

IdentifierTypeStateIssuer
L-55665OtherIBLCE

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.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1386137941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 BLAKE RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054779",
            "telephone_number": "505-221-6397",
            "fax_number": "505-503-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BLAKE RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054779",
            "telephone_number": "505-221-6397",
            "fax_number": "505-503-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSQUE BIRTH & BREASTFEEDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER & FOUNDER",
        "authorized_official_telephone_number": "505-221-6397",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-55665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBLCE",
            "identifier": "L-55665",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.