NPIMap

Organization Active NPI

Mommy Made Me LLC

Doing business as Mommy Made Me Milk

  • Lactation Consultant (Non-RN)
  • Campbell, CA
National Provider Identifier
1528455789
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
ALPP-207895 Issued in MA
Legal business name
MOMMY MADE ME LLC
Doing business as
Mommy Made Me Milk
Practice address
1310 W San Tomas Aquino Rd
Campbell, CA 95008-4424
Phone
(650) 336-4954
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Aleksandra Bednarek VaradarajanNPI 1902293160
Title
Owner
Phone
(650) 336-4954

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 (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X ALPP-207895 MA Primary

Addresses

Primary practice location

1310 W San Tomas Aquino Rd
Campbell, CA 95008-4424

Mailing address

1310 W San Tomas Aquino Rd
Campbell, CA 95008-4424
Phone (650) 336-4954

Other names 1

  • Mommy Made Me Milk Doing business as

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": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1528455789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W SAN TOMAS AQUINO RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084424",
            "telephone_number": "650-336-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W SAN TOMAS AQUINO RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084424",
            "telephone_number": "650-336-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMY MADE ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "BEDNAREK VARADARAJAN",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-336-4954"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MA",
            "license": "ALPP-207895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mommy Made Me Milk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.