Organization Active NPI

Gulf Coast Lactation

  • Lactation Consultant (Registered Nurse)
  • Fairhope, AL
National Provider Identifier
1902437361
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
GULF COAST LACTATION
Practice address
368 Commercial Park Dr
Fairhope, AL 36532-1910
Phone
(251) 455-8928
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Ellen Scott Thomson, RN, IBCLCNPI 1285266288
Title
Ceo
Phone
(251) 455-8928

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 MULTIPLE SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

368 Commercial Park Dr
Fairhope, AL 36532-1910

Mailing address

368 Commercial Park Dr
Fairhope, AL 36532-1910
Phone (251) 455-8928

Other names 1

  • Gulf Coast Lactation Doing business as

National Provider Directory

National Provider Directory

Locations

368 Commercial Park Dr
Fairhope, AL 36532
Phone (251) 455-8928

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": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1902437361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 COMMERCIAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321910",
            "telephone_number": "251-455-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 COMMERCIAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321910",
            "telephone_number": "251-455-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-455-8928",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Lactation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.