Organization Active NPI

Joanna Peterson Lactation Consulting

Doing business as Tulsa Lactation Care, LLC

  • Lactation Consultant (Registered Nurse)
  • Broken Arrow, OK
National Provider Identifier
1558259523
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
JOANNA PETERSON LACTATION CONSULTING
Doing business as
Tulsa Lactation Care, LLC
Practice address
4200 W Laredo St
Broken Arrow, OK 74012-7576
Phone
(661) 495-7768
Fax
(539) 666-2390
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Joanna Peterson, RN, BSN, IBCLCNPI 1013627744
Title
Owner
Phone
(661) 495-7768

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) 163WL0100X Primary

Addresses

Primary practice location

4200 W Laredo St
Broken Arrow, OK 74012-7576

Mailing address

4200 W Laredo St
Broken Arrow, OK 74012-7576
Phone (661) 495-7768

Other names 1

  • Tulsa Lactation Care, LLC Doing business as

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": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1558259523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W LAREDO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127576",
            "telephone_number": "661-495-7768",
            "fax_number": "539-666-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W LAREDO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127576",
            "telephone_number": "661-495-7768",
            "fax_number": "539-666-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA PETERSON LACTATION CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-495-7768",
        "authorized_official_credential": "RN, BSN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulsa Lactation Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.