Organization Active NPI

Motherfed, LLC

  • Lactation Consultant (Non-RN)
  • Salt Lake City, UT
National Provider Identifier
1720429632
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
MOTHERFED, LLC
Practice address
Parkview Plaza One 2180 South 1300 East
Suite 600
Salt Lake City, UT 84106-4462
Phone
(801) 580-4419
NPI assigned
Jul 9, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Susan Marie Johnson, IBCLC, RLCNPI 1902218290
Title
Member
Phone
(801) 580-4419

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) 174N00000X Primary

Addresses

Primary practice location

Parkview Plaza One 2180 South 1300 East
Suite 600
Salt Lake City, UT 84106-4462

Mailing address

PO Box 522425
Salt Lake City, UT 84152-2425
Phone (801) 580-4419

National Provider Directory

National Provider Directory

Locations

2180 S 1300 E
Ste 600
Salt Lake City, UT 84106
Phone (801) 580-4419

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1720429632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522425",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841522425",
            "telephone_number": "801-580-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARKVIEW PLAZA ONE 2180 SOUTH 1300 EAST",
            "address_2": "SUITE 600",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064462",
            "telephone_number": "801-580-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERFED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-580-4419",
        "authorized_official_credential": "IBCLC, RLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.