Organization Active NPI

Lactation Consultants of America

  • Lactation Consultant (Registered Nurse)
  • Phoenix, AZ
National Provider Identifier
1982386371
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LACTATION CONSULTANTS OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Sarah GrumanNPI 1174291116
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)CodeLicenseStatePrimary
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 America3 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.