Organization Active NPI

Havener Ventures LLC

  • Lactation Consultant (Non-RN)
  • Roanoke, VA
National Provider Identifier
1710510045
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
HAVENER VENTURES LLC
Practice address
2311 Sanford Ave SW
Roanoke, VA 24014-1122
Phone
(540) 253-1984
Fax
(540) 566-5035
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Katherine Havener, IBCLC RLCNPI 1730621913
Title
Owner
Phone
(540) 926-4111

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 (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

2311 Sanford Ave SW
Roanoke, VA 24014-1122

Mailing address

7922 Sequoia Dr
Roanoke, VA 24019-1847
Phone (540) 926-4111

Other names 1

  • Star Lactation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1710510045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 SEQUOIA DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240191847",
            "telephone_number": "540-926-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SANFORD AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141122",
            "telephone_number": "540-253-1984",
            "fax_number": "540-566-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENER VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "HAVENER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-926-4111",
        "authorized_official_credential": "IBCLC RLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Lactation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Star Lactation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.