High Country Lactation Care, Inc

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

HIGH COUNTRY LACTATION CARE, INC

Practice address

401 W Aspen Ave
Flagstaff, AZ 86001-5305

Phone

(928) 556-0000

Fax

(928) 556-0005

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Maya Radoccia-Kennen, BSW, IBCLCNPI 1053797159

Title

Vice President Lactation Consultant

Phone

(928) 556-0000

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.

• Maya Radoccia-Kennen, IBCLC

  • Lactation Consultant (Non-RN)
  • Clarkdale, AZ
  • NPI 1053797159

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1730729039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W ASPEN AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015305",
            "telephone_number": "928-556-0000",
            "fax_number": "928-556-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ASPEN AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015305",
            "telephone_number": "928-556-0000",
            "fax_number": "928-556-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY LACTATION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "RADOCCIA-KENNEN",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "VICE PRESIDENT LACTATION CONSULTANT",
        "authorized_official_telephone_number": "928-556-0000",
        "authorized_official_credential": "BSW, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen J Hibbert, DDS
• Colin R Hickenlooper, PA-C
• Ladonna Lynn Hickman, M.S. CCC-SLP
• Lindsey Alane Hiebert, M.S., CF-SLP
• Paul Hiette, M.D.
• Highline Eye Care, PLLC
• Elisa Hilburn, NP
• Michael Dale Hilburn, FNP-C
• Mandy L Hilgeman, CRNA
• Bruce D. Hill, PHD, LMFT, CEAP

• Lactation Consultant (Non-RN) in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Lactation Consultant (Non-RN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.