Kavisa Wood, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

5108 Archcrest Way
Sacramento, CA 95835-1641

Phone

(916) 572-4433

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nourishing Justly LLC

  • Lactation Consultant (Non-RN)
  • Sacramento, CA
  • NPI 1417783754

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1457036675",
    "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": {
        "last_name": "WOOD",
        "first_name": "KAVISA",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Nicole Wood, DO
• Diana C. Wood, LCSW
• Erin Riley Wood, LCSW
• Holli Wood, BCBA
• Jessie Wood
• Mackenzie Wood, OTR/L
• Mary Eleanor Wood
• Michelle Renee Wood, CADC I
• Patricia Lucille Wood, RN NP
• Rachaell K Wood

• 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.