St Lactation Services, LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

ST LACTATION SERVICES, LLC

Practice address

218 Shrewsbury St Ste 201B
Worcester, MA 01604-4652

Phone

(508) 203-7797

Fax

(833) 440-1417

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Shelly Taft, LPN, IBCLCNPI 1134433709

Title

Managing Member

Phone

(508) 203-7797

Specialties & licenses 1

Addresses

Other names 1

• Shelly Taft LPN, IBCLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly Anne Taft, LPN, CLC, IBCLC

  • Lactation Consultant (Non-RN)
  • Attleboro, MA
  • NPI 1134433709

  Lactation Consultant, Non-RN

  NPD Authorized official
• Phoebe M Heffron, NP, IBCLC

  • Pediatric Nurse Practitioner
  • Worcester, MA
  • NPI 1215289426
  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1801568001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 APPLETREE LN",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202516",
            "telephone_number": "508-203-7797",
            "fax_number": "833-440-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SHREWSBURY ST STE 201B",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044652",
            "telephone_number": "508-203-7797",
            "fax_number": "833-440-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LACTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "TAFT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "508-203-7797",
        "authorized_official_credential": "LPN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelly Taft LPN, IBCLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bhaskar Srivastava, MD, PHD
• Smita Srivastava, MD
• Andrew Sserwanga
• Cynthia Louise St Denis
• Monique St Germain, NNP
• Julie A St Laurent
• Carl St Paul
• St Vincent Hospital
• Christopher J St. Amand, PA-C
• Susan St. Cyr, RN

• Lactation Consultant (Non-RN) in Worcester, MA
• Providers in Worcester, MA by specialty
• Lactation Consultant (Non-RN) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.