NPIMap

Organization Active NPI

Kindred Mother Care LLC

  • Lactation Consultant (Non-RN)
  • Beaverton, OR
National Provider Identifier
1760908479
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
KINDRED MOTHER CARE LLC
Practice address
20861 NW Amber View LN
Beaverton, OR 97006-6479
Phone
(503) 479-8129
NPI assigned
Aug 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sejal Fichadia, IBCLC
Title
Owner
Phone
(503) 479-8129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

20861 NW Amber View LN
Beaverton, OR 97006-6479

Mailing address

20861 NW Amber View LN
Beaverton, OR 97006-6479
Phone (503) 479-8129

National Provider Directory

National Provider Directory
Tax ID family
Kindred Mother Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760908479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20861 NW AMBER VIEW LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066479",
            "telephone_number": "503-479-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20861 NW AMBER VIEW LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066479",
            "telephone_number": "503-479-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED MOTHER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FICHADIA",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-479-8129",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.