Organization Active NPI

Lullaby Lactation LLC

  • Lactation Consultant (Registered Nurse)
  • North Plains, OR
National Provider Identifier
1386183812
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
200140760RN Issued in OR
Legal business name
LULLABY LACTATION LLC
Doing business as
Lullaby Lactation
Practice address
39643 NW Murtaugh Rd
North Plains, OR 97133-6143
Phone
(503) 647-5189
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Jessamyn Ann Bothwell, RN, IBCLCNPI 1033845300
Title
Owner
Phone
(503) 997-2684

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 (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X 200140760RN OR Primary

Addresses

Primary practice location

39643 NW Murtaugh Rd
North Plains, OR 97133-6143

Mailing address

PO Box 75
North Plains, OR 97133-0075
Phone (503) 997-2684

Other names 1

  • Lullaby Lactation Doing business as

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": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1386183812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971330075",
            "telephone_number": "503-997-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39643 NW MURTAUGH RD",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971336143",
            "telephone_number": "503-647-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LULLABY LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BOTHWELL",
        "authorized_official_first_name": "JESSAMYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-997-2684",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "200140760RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lullaby Lactation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Plains, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.