Organization Active NPI

Mother Nurture Lactation & Wellness, LLC

  • Lactation Consultant (Registered Nurse)
  • Greenville, NC
National Provider Identifier
1588435200
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
MOTHER NURTURE LACTATION & WELLNESS, LLC
Practice address
2245 Stantonsburg Rd Ste B
Greenville, NC 27834-2868
Phone
(910) 840-1135
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Heather Bazemore, RN, IBCLCNPI 1205421807
Title
Owner/RN/Ibclc
Phone
(910) 840-1135

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

2245 Stantonsburg Rd Ste B
Greenville, NC 27834-2868

Mailing address

106 Southridge Dr
Greenville, NC 27858-9266

National Provider Directory

National Provider Directory

Locations

2245 Stantonsburg Rd
Ste B
Greenville, NC 27834
Phone (252) 751-3866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1588435200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SOUTHRIDGE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 STANTONSBURG RD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342868",
            "telephone_number": "910-840-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER NURTURE LACTATION & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BAZEMORE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/RN/IBCLC",
        "authorized_official_telephone_number": "910-840-1135",
        "authorized_official_credential": "RN, 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 Greenville, NC

Sources for this page

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

Verify at the official NPI Registry.