Organization Active NPI

Good Life Lactation LLC

  • Lactation Consultant (Registered Nurse)
  • Overland Park, KS
National Provider Identifier
1548084288
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
GOOD LIFE LACTATION LLC
Practice address
7398 W 162ND Ter
Overland Park, KS 66085-8240
Phone
(402) 690-1689
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Natasha Kay Mizner, RN, BSN, IBCLCNPI 1114665353
Title
Co-Owner/Lactation Consultant
Phone
(402) 690-1689

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: 193400000X SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

7398 W 162ND Ter
Overland Park, KS 66085-8240

Mailing address

6614 Goode Dr
Shawnee, KS 66216-2515
Phone (913) 662-3415

Other identifiers 1

IdentifierTypeStateIssuer
1124703376MedicaidKS

National Provider Directory

National Provider Directory

Locations

7398 W 162nd Ter
Stilwell, KS 66085
Phone (913) 484-7632

Practitioners & affiliated clinicians

Practitioners 2

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": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1548084288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 GOODE DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162515",
            "telephone_number": "913-662-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7398 W 162ND TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858240",
            "telephone_number": "402-690-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "MIZNER",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CO-OWNER/LACTATION CONSULTANT",
        "authorized_official_telephone_number": "402-690-1689",
        "authorized_official_credential": "RN, BSN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124703376",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.