Optimom Lactation Services, LLC.

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

OPTIMOM LACTATION SERVICES, LLC.

Practice address

7620 SW 5TH PL
Gainesville, FL 32607-1572

Phone

(808) 468-6455

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Moore, RN, IBCLCNPI 1578228227

Title

Authorized Member

Phone

(352) 514-0281

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Moore, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Gainesville, FL
  • NPI 1578228227
  NPD Authorized official

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1942085410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 SW 5TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 SW 5TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071572",
            "telephone_number": "808-468-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMOM LACTATION SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "352-514-0281",
        "authorized_official_credential": "RN, 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": []
}

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• Lactation Consultant (Registered Nurse) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.