Organization Active NPI

Medcity Lactation and Feeding Services LLC

  • Lactation Consultant (Registered Nurse)
  • Rochester, MN
National Provider Identifier
1871315689
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
MEDCITY LACTATION AND FEEDING SERVICES LLC
Practice address
4648 Cassidy Ridge Dr NE
Rochester, MN 55906-8431
Phone
(507) 291-9830
Fax
(507) 291-9824
NPI assigned
Oct 31, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Molly Mustafa, BSN, RN, IBCLCNPI 1851048102
Title
Owner
Phone
(507) 291-9830

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) 163WL0100X NU Primary

Addresses

Primary practice location

4648 Cassidy Ridge Dr NE
Rochester, MN 55906-8431

Mailing address

4648 Cassidy Ridge Dr NE
Rochester, MN 55906-8431
Phone (507) 291-9830

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1871315689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 CASSIDY RIDGE DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068431",
            "telephone_number": "507-291-9830",
            "fax_number": "507-291-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4648 CASSIDY RIDGE DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068431",
            "telephone_number": "507-291-9830",
            "fax_number": "507-291-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCITY LACTATION AND FEEDING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-291-9830",
        "authorized_official_credential": "BSN, RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.