NPIMap

Organization Active NPI

Natural Nourish LLC

  • Lactation Consultant (Registered Nurse)
  • Allendale, IL
National Provider Identifier
1508511619
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
NATURAL NOURISH LLC
Practice address
20493 E 1200 Rd
Allendale, IL 62410-2099
Phone
(618) 262-3622
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Christina Mayberry, RNNPI 1700360914
Title
Ibclc
Phone
(618) 262-3622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

20493 E 1200 Rd
Allendale, IL 62410-2099

Mailing address

20493 E 1200 Rd
Allendale, IL 62410-2099
Phone (618) 262-3622

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": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1508511619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20493 E 1200 RD",
            "city": "ALLENDALE",
            "state": "IL",
            "postal_code": "624102099",
            "telephone_number": "618-262-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20493 E 1200 RD",
            "city": "ALLENDALE",
            "state": "IL",
            "postal_code": "624102099",
            "telephone_number": "618-262-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL NOURISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "IBCLC",
        "authorized_official_telephone_number": "618-262-3622",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.