Organization Active NPI

Kathys Breastfeeding Nook

  • Lactation Consultant (Registered Nurse)
  • Mystic, CT
National Provider Identifier
1831952142
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
KATHYS BREASTFEEDING NOOK
Practice address
12 Coogan Blvd Ste 204
Mystic, CT 06355-1938
Phone
(860) 705-5663
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Kathleen Frances Gauthier, CNM,IBCLCNPI 1265744536
Title
Lactation Consultant
Phone
(860) 705-5663

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 (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

12 Coogan Blvd Ste 204
Mystic, CT 06355-1938

Mailing address

12 Coogan Blvd Ste 204
Mystic, CT 06355-1938
Phone (860) 705-5663

Other names 1

  • Kathys Breastfeeding Nook Doing business as

National Provider Directory

National Provider Directory

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": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1831952142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COOGAN BLVD STE 204",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551938",
            "telephone_number": "860-705-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 COOGAN BLVD STE 204",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551938",
            "telephone_number": "860-705-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHYS BREASTFEEDING NOOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "860-705-5663",
        "authorized_official_credential": "CNM,IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathys Breastfeeding Nook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.