Tara Daystar, B.A. CPM, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-301284 Issued in VA

Practice address

829 Bethlehem Church Rd NE
Floyd, VA 24091-2256

Phone

(540) 285-0067

NPI assigned

Mar 1, 2012

Last updated

Sep 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ancient Roots Midwifery & Doula Care

  dba New River Lactation

  • Lactation Consultant (Non-RN)
  • Floyd, VA
  • NPI 1083981625

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1598039026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 BETHLEHEM CHURCH RD NE",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240912256",
            "telephone_number": "540-285-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 BETHLEHEM CHURCH RD NE",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240912256",
            "telephone_number": "540-285-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYSTAR",
        "first_name": "TARA",
        "credential": "B.A. CPM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000069",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "VA",
            "license": "L-301284",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garry Madison Collins, D.C.
• Commonwealth of Virginia State Board of Health (Floyd County Health Department)
• Joseph Howard Conduff Jr., D.D.S.
• Justin Neal Conduff
• Richard W Davidson, PA
• Decoding Relationships
• Demoray Clinic
• Bruce David Deutsch, D.C., F.I.A.M.A.
• Dr. Blake Mitnick, Optometrist, PLC
• Kimberly A Dulaney, MD

• Lactation Consultant (Non-RN) in Floyd, VA
• Providers in Floyd, VA by specialty
• Lactation Consultant (Non-RN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.