Green Country Lactation LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

GREEN COUNTRY LACTATION LLC

Practice address

809 W Juneau St
Broken Arrow, OK 74012-0765

Phone

(918) 671-4876

Fax

(918) 744-9657

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Kim Parris

Title

Administrator/Co-Owner

Phone

(918) 671-4876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1902373327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W JUNEAU ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120765",
            "telephone_number": "918-671-4876",
            "fax_number": "918-744-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W JUNEAU ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120765",
            "telephone_number": "918-671-4876",
            "fax_number": "918-744-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "PARRIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR/CO-OWNER",
        "authorized_official_telephone_number": "918-671-4876"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Gray, COTA/L
• Kerry Gray
• Karie Renee Graybill
• Green Country Counseling PLLC
• Green Country Infectious Disease PC
• Bobby Green
• Brandon Andres Green
• Emerald Green
• Jason Green, OT
• Kathren Green, PTA

• Lactation Consultant (Registered Nurse) in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Lactation Consultant (Registered Nurse) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.