St Charles Lactation Care & Support LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

ST CHARLES LACTATION CARE & SUPPORT LLC

Practice address

1423 N 2ND St
Saint Charles, MO 63301-2107

Phone

(636) 306-3410

Fax

(636) 206-8193

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By 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

Johanna Iwaszkowiec, IBCLCNPI 1265842546

Title

Owner, Lactation Consultant

Phone

(773) 354-1853

Specialties & licenses 2

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.

• Johanna Elisabeth Iwaszkowiec, IBCLC

  • Lactation Consultant (Non-RN)
  • Saint Charles, MO
  • NPI 1265842546

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1467147074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 WATERWHEEL PL",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012433",
            "telephone_number": "773-354-1853",
            "fax_number": "636-206-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N 2ND ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012107",
            "telephone_number": "636-306-3410",
            "fax_number": "636-206-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES LACTATION CARE & SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "IWASZKOWIEC",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER, LACTATION CONSULTANT",
        "authorized_official_telephone_number": "773-354-1853",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott C St Amour, M.D.
• St Charles Emergency Group LLC
• St Charles Eye Center Inc
• St Charles Foot Care Center, Terry L. Gamache, DPM, PC
• St Charles Health Care LLC (Frontier Health & Rehabilitation)
• St Charles Opco LLC (Windsor Estates of St. Charles)
• St Charles Optical Company
• St Charles Orthopaedic Surgery Associates Inc.
• St Charlescodept of Commhealth & the Env
• St. Charles Comprehensive Counseling Services, LLC

• Lactation Consultant (Non-RN) in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Lactation Consultant (Non-RN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.