Organization Active NPI

Mama Bear & Infant Care, LLC

  • Lactation Consultant (Registered Nurse)
  • Arlington, VA
National Provider Identifier
1467961201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
0001224970 Issued in VA
Legal business name
MAMA BEAR & INFANT CARE, LLC
Practice address
5721 5TH St N
Arlington, VA 22205-1007
Phone
(703) 507-1974
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sara Elise Herbst Grawe, MSN, RN, IBCLC
Title
Lactation Consultant RN
Phone
(703) 507-1974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X 0001224970 VA Primary

Addresses

Primary practice location

5721 5TH St N
Arlington, VA 22205-1007

Mailing address

5721 5TH St N
Arlington, VA 22205-1007
Phone (703) 507-1974

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": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467961201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 5TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051007",
            "telephone_number": "703-507-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 5TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051007",
            "telephone_number": "703-507-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA BEAR & INFANT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAWE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ELISE HERBST",
        "authorized_official_title_or_position": "LACTATION CONSULTANT RN",
        "authorized_official_telephone_number": "703-507-1974",
        "authorized_official_credential": "MSN, RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "0001224970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • 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.