Kentucky Centers for Infant Maternal and Lactation Care LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KENTUCKY CENTERS FOR INFANT MATERNAL AND LACTATION CARE LLC

Practice address

1795 Alysheba Way Ste 1204
Lexington, KY 40509-2282

Phone

(859) 550-8564

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By 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

Rachael Sisk, IBCLCNPI 1629710181

Title

Founder

Phone

(859) 550-8564

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachael Sisk, CLC

  • Lactation Consultant (Non-RN)
  • Lexington, KY
  • NPI 1629710181
  NPD Authorized official

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1538864343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SUGARBUSH TRL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405097002",
            "telephone_number": "859-550-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY STE 1204",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092282",
            "telephone_number": "859-550-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CENTERS FOR INFANT MATERNAL AND LACTATION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-01",
        "status": "A",
        "authorized_official_last_name": "SISK",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "859-550-8564",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Center for Oral & Maxillofacial Surgery PSC
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• Kentucky Center for Vision PSC (Koffler Vision Group)
• Kentucky Children's Hospital
• Kentucky CVS Pharmacy LLC (CVS Pharmacy #17759)
• Kentucky CVS Pharmacy, L.L.C (CVS Pharmacy# 06942)
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy# 06941)
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 06940)

• Multi-Specialty Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.