Nourishing Justly LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

NOURISHING JUSTLY LLC

Practice address

5108 Archcrest Way
Sacramento, CA 95835-1641

Phone

(916) 572-4433

NPI assigned

Sep 12, 2024

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kavisa Wood, IBCLCNPI 1457036675

Title

Clinical Director

Phone

(916) 572-4433

Specialties & licenses 1

Addresses

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.

• Kavisa Wood, IBCLC

  • Lactation Consultant (Non-RN)
  • Sacramento, CA
  • NPI 1457036675

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1417783754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 ARCHCREST WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351641",
            "telephone_number": "916-572-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 ARCHCREST WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351641",
            "telephone_number": "916-572-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING JUSTLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KAVISA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "916-572-4433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Derderian Nosal
• Noticing Growth a Licensed Clinical Social Worker PC (Noticing Growth Therapy Group)
• Julia Adele Noto, BSN, RN, PHN
• George Eugene Noud, M.D.
• Savy Noun, M.A.
• Jennifer Nova, NP
• Juliana Novaes
• Melissa Anne Novaes, LCSW
• Jessica Novak
• Linda Novak

• Lactation Consultant (Non-RN) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.