Active NPI
Good Life Lactation LLC
- Lactation Consultant (Registered Nurse)
- Overland Park, KS
National Provider Identifier
1548084288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natasha Kay Mizner, RN, BSN, IBCLC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124703376 | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Lactation Consultant (Registered Nurse)
- Shawnee, KS
- NPI 1114665353
Lactation Consultant
-
- Lactation Consultant (Registered Nurse)
- Lees Summit, MO
- NPI 1124703376
Lactation Consultant
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.