The Mama Coach-Karissa Martin, LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

THE MAMA COACH-KARISSA MARTIN, LLC

Practice address

38532 Saddle Mountain LN
Crawford, CO 81415-9128

Phone

(970) 921-9978

NPI assigned

Feb 27, 2025

Last updated

Feb 27, 2025By 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

Mrs. Karissa J. Martin, RN, IBCLC

Title

Owner

Phone

(970) 921-9978

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1528865474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38532 SADDLE MOUNTAIN LN",
            "city": "CRAWFORD",
            "state": "CO",
            "postal_code": "814159128",
            "telephone_number": "970-921-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38532 SADDLE MOUNTAIN LN",
            "city": "CRAWFORD",
            "state": "CO",
            "postal_code": "814159128",
            "telephone_number": "970-921-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAMA COACH-KARISSA MARTIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-921-9978",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Crawford, CO
• Providers in Crawford, CO by specialty
• Lactation Consultant (Registered Nurse) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.