Milk Guide Lactation of Tennessee LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MILK GUIDE LACTATION OF TENNESSEE LLC

Practice address

316 E Broad St
Cookeville, TN 38501-3304

Phone

(574) 315-3196

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Kristin Szerszen

Title

Ceo

Phone

(574) 315-3196

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1922764992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 PEOTONE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E BROAD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013304",
            "telephone_number": "574-315-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILK GUIDE LACTATION OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "SZERSZEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-315-3196"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN (SOS CONTROL #)",
            "identifier": "0012364",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin@milkguide.co",
            "affiliation": "Y",
            "endpointDescription": "Secure email",
            "affiliationName": "Milk Guide Lactation LLC",
            "address_1": "10275 Peotone Drive",
            "city": "Granger",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• James E. Miller, OPTM
• Jason Miller, PTA

• Counselor in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.