Organization Active NPI

Magnolia Lactation LLC

  • Lactation Consultant (Registered Nurse)
  • Nixa, MO
National Provider Identifier
1548920747
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
MAGNOLIA LACTATION LLC
Practice address
1926 N Tanglewood LN
Nixa, MO 65714-9459
Phone
(417) 299-2675
NPI assigned
Dec 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Christine Maria Starnes, RN, BSN, IBCLCNPI 1629738877
Title
Sole Member
Phone
(417) 299-2675

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

1926 N Tanglewood LN
Nixa, MO 65714-9459

Mailing address

1926 N Tanglewood LN
Nixa, MO 65714-9459
Phone (417) 299-2675

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1548920747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 N TANGLEWOOD LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149459",
            "telephone_number": "417-299-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 N TANGLEWOOD LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149459",
            "telephone_number": "417-299-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "417-299-2675",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.