Nclark LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

10--F001 Issued in VA

Legal business name

NCLARK LLC

Doing business as

Northern Virginia Lactation Consultants

Practice address

4250 Chain Bridge Rd
Fairfax, VA 22030-4214

Phone

(703) 425-2229

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Nancy J Clark, IBCLC

Title

Director

Phone

(703) 425-2229

Specialties & licenses 1

Addresses

Other names 1

• Northern Virginia Lactation Consultants Doing business as

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407257033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 CHAIN BRIDGE RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304214",
            "telephone_number": "703-425-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CHAIN BRIDGE RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304214",
            "telephone_number": "703-425-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCLARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-425-2229",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "VA",
            "license": "10--F001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Virginia Lactation Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Nazarova, LSA
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• Lactation Consultant (Non-RN) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Lactation Consultant (Non-RN) in Virginia

• 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.