Organization Active NPI

Nourished Roots Lactation LLC

  • Lactation Consultant (Non-RN)
  • Chicago, IL
National Provider Identifier
1750130456
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
NOURISHED ROOTS LACTATION LLC
Practice address
211 W Wacker Dr Ste 120
Chicago, IL 60606-1377
Phone
(336) 287-2042
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Mrs. Amber Allen Ginn, IBCLCNPI 1487419065
Title
Owner
Phone
(336) 287-2042

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: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

211 W Wacker Dr Ste 120
Chicago, IL 60606-1377

Mailing address

1702 Lone Hickory Rd
Yadkinville, NC 27055-6242
Phone (336) 287-2042

Other practice location 1

231 South LaSalle Street
Suite 2100
Chicago, IL 60604
Phone (336) 287-2042

National Provider Directory

National Provider Directory

Locations

4546 El Camino Real
#B101041
Los Altos, CA 94022

4546 El Camino Real
Ste B10
Los Altos, CA 94022
Phone (562) 972-0989

Practitioners & affiliated clinicians

Practitioners 1

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": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1750130456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 LONE HICKORY RD",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556242",
            "telephone_number": "336-287-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W WACKER DR STE 120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061377",
            "telephone_number": "336-287-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 South LaSalle Street",
            "address_2": "Suite 2100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60604",
            "country_code": "US",
            "telephone_number": "336-287-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOURISHED ROOTS LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "GINN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-287-2042",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "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": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.