Legacy Lactation Services, LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

LEGACY LACTATION SERVICES, LLC

Practice address

8310 Front Gate Cir
Ooltewah, TN 37363-9506

Phone

(423) 321-2528

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Paula Renee Connor, IBCLCNPI 1922783984

Title

Clinic Director

Phone

(423) 321-2528

Specialties & licenses 1

Addresses

Practitioners 1

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

• Paula Renee Connor, IBCLC

  • Specialist
  • Ooltewah, TN
  • NPI 1922783984

  Lactation Consultant

  NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1649030917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 FRONT GATE CIR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639506",
            "telephone_number": "423-321-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 FRONT GATE CIR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639506",
            "telephone_number": "423-321-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LACTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "423-321-2528",
        "authorized_official_credential": "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": []
}

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• Lactation Consultant (Registered Nurse) in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Lactation Consultant (Registered Nurse) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.