Active NPI
Lactation Consultants of America
- Lactation Consultant (Registered Nurse)
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- Legal business name
- LACTATION CONSULTANTS OF AMERICA
- Practice address
- 4611 E Chandler Blvd Ste 1121005
Phoenix, AZ 85048-0441 - Phone
- (650) 223-4208
- Fax
- (833) 563-2266
- NPI assigned
- Aug 4, 2023
- Last updated
- Aug 4, 2023
- Organization subpart
- Yes
- Parent organization
- LACTATION CONSULTANTS OF AMERICA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Gruman
- Title
- Ceo
- Phone
- (650) 223-4208
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | Primary | ||
| Lactation Consultant (Non-RN) | 174N00000X |
Addresses
Primary practice location
4611 E Chandler Blvd Ste 1121005
Phoenix, AZ 85048-0441
Mailing address
6236 Colgate Ave
Los Angeles, CA 90036-3144
Phone (650) 223-4208
National Provider Directory
National Provider Directory- Tax ID family
- Lactation Consultants of America
- Part of
- Lactation Consultants of America
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Lactation Consultant (Non-RN)
- Big Bear City, CA
- NPI 1740929694
-
- Lactation Consultant (Non-RN)
- Tigard, OR
- NPI 1790467181
Locations
4611 E Chandler Blvd
Ste 1121005
Phoenix, AZ 85048
Phone (650) 223-4208
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.
-
- Lactation Consultant (Non-RN)
- Henderson, NV
- NPI 1174291116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691107200000",
"number": "1982386371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6236 COLGATE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363144",
"telephone_number": "650-223-4208",
"fax_number": "833-563-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 E CHANDLER BLVD STE 1121005",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480441",
"telephone_number": "650-223-4208",
"fax_number": "833-563-2266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LACTATION CONSULTANTS OF AMERICA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LACTATION CONSULTANTS OF AMERICA",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A",
"authorized_official_last_name": "GRUMAN",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "650-223-4208"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.