Kathryn Cook Sanders, IBCLC, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

LC000015 Issued in GA

Practice address

3920 Grove TRL
Loganville, GA 30052-7212

Phone

(404) 593-8719

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kathryn Sanders Chapman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1558890624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 GROVE TRL",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527212",
            "telephone_number": "404-593-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 GROVE TRL",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527212",
            "telephone_number": "404-593-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KATHRYN",
        "middle_name": "COOK",
        "name_prefix": "Ms.",
        "credential": "IBCLC, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "LC000015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CHAPMAN",
            "middle_name": "SANDERS",
            "prefix": "MRS.",
            "credential": "IBCLC, CLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lactation Consultant (Non-RN) in Loganville, GA
• Providers in Loganville, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.