Organization Active NPI

Lollies Lactation

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1558299685
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
LOLLIES LACTATION
Practice address
318 Indera Mills CT
Winston Salem, NC 27101-3383
Phone
(336) 816-9701
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Kacie Mintz, FNP, IBCLCNPI 1114465531
Title
Owner
Phone
(336) 816-9701

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

318 Indera Mills CT
Winston Salem, NC 27101-3383

Mailing address

2323 Westover Dr
Winston Salem, NC 27103-3646
Phone (336) 816-9701

National Provider Directory

National Provider Directory
Tax ID family
Lollies Lactation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1558299685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 WESTOVER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033646",
            "telephone_number": "336-816-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 INDERA MILLS CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013383",
            "telephone_number": "336-816-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLLIES LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "KACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-816-9701",
        "authorized_official_credential": "FNP, IBCLC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.