NPIMap

Organization Active NPI

Simply Fed Lactation

  • Lactation Consultant (Registered Nurse)
  • Hanover, MA
National Provider Identifier
1992361950
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
SIMPLY FED LACTATION
Practice address
152 Longwater Dr
Hanover, MA 02339-1867
Phone
(781) 635-6479
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Ellen Fitzgerald, BSN, RN, IBCLCNPI 1821597337
Title
Manager
Phone
(781) 635-6479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

152 Longwater Dr
Hanover, MA 02339-1867

Mailing address

152 Longwater Dr
Hanover, MA 02339-1867
Phone (781) 635-6479

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1992361950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 LONGWATER DR",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391867",
            "telephone_number": "781-635-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 LONGWATER DR",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391867",
            "telephone_number": "781-635-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY FED LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-635-6479",
        "authorized_official_credential": "BSN, 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": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.