Shoshanah Blaiss, MSN, CNM, IBCLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN196459 Issued in GA

Practice address

4395 Windsong CT SW
Lilburn, GA 30047-4239

Phone

(404) 458-7137

Fax

(470) 435-6493

NPI assigned

Dec 11, 2012

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breastfeed Atlanta, LLC

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1558722215

  Lactation Consultant

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2021.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1982949376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 WINDSONG CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474239",
            "telephone_number": "404-458-7137",
            "fax_number": "470-435-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 WINDSONG CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474239",
            "telephone_number": "404-458-7137",
            "fax_number": "470-435-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5283 Bells Ferry Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301027567",
            "country_code": "US",
            "telephone_number": "678-223-3195",
            "fax_number": "770-648-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAISS",
        "first_name": "SHOSHANAH",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNM, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN196459",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "RN196459",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN196459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@binahbirth.net",
            "affiliation": "N",
            "address_1": "4395 Windsong Ct SW",
            "city": "Lilburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300474239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Better Total Care LLC
• Rizwan Bheraiya, RPH
• Taslima Bhuiyan, MD
• Bio-Medical Applications of Georgia, Inc.
• Paige M Black, D.C.
• Christopher Blanott, PHARMD
• Abigal Blay, MS
• Roshonda Boone, LAPC
• Amir Borhanipoor, OD
• Boski R. Amin OD, LLC

• All providers in Lilburn, GA
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.