Active NPI
Mama Bear & Infant Care, LLC
- Lactation Consultant (Registered Nurse)
- Arlington, VA
National Provider Identifier
1467961201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 0001224970
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 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 DirectoryPractitioners & 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.