HIGH COUNTRY LACTATION CARE, INC (NPI# 1730729039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730729039 |
| Entity Type | Organization |
| Organization Name | HIGH COUNTRY LACTATION CARE, INC |
| Practice Address |
401 W Aspen Ave Flagstaff AZ 86001-5305 |
| Practice Telephone | 9285560000 |
| Practice Fax Number | 9285560005 |
| Mailing Telephone | 9285560000 |
| Mailing Fax Number | 9285560005 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | MAYA RADOCCIA-KENNEN (VICE PRESIDENT LACTATION CONSULTANT) |
| Authorized Official Telephone | 9285560000 |
| Authorized Official Credential | BSW, IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
401 W ASPEN AVE |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295875334 | Paula Pelletier-butler | Midwife | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2007-02-07 |
| 1891304580 | Flagstaff Birth and Health Center | Clinic/Center | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2020-07-28 |
| 1730670514 | Flagstaff Breastfeeding Center, LLC | Clinic/Center | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2018-05-28 |
| 1528598786 | Kathy Bell | Registered Nurse | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2017-06-19 |
| 1538602867 | Jana Bowditch | Nurse Practitioner | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2016-11-17 |
| 1578012522 | Melissa Gibbons | Naturopath | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2016-09-30 |
| 1760828685 | Kimberly Kay Tinsman | Doula | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2013-05-18 |
| 1508201419 | Flagstaff Birth and Women's Health | Midwife | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043764582 | Anna Elizabeth Neuman Singleton | Lactation Consultant, Non-RN | 3445 N King St, Flagstaff, AZ 86004-2027 | 2016-08-13 |
| 1679098388 | Brenda Louise Phipps | Lactation Consultant, Non-RN | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2017-08-03 |
| 1780133546 | Lactation Solutions of Northern Arizona | Lactation Consultant, Non-RN | 3445 N King St, Flagstaff, AZ 86004-2027 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894379 | Rhegan Riane Derfus | Lactation Consultant, Non-RN | 3865 Barraco Dr, Sierra Vista, AZ 85650-4211 | 2020-05-28 |
| 1366072266 | Mirishka Elizabeth Gill | Lactation Consultant, Non-RN | 139 N 85th Pl, Mesa, AZ 85207-8669 | 2020-01-19 |
| 1063073963 | Heather Marie Evans | Lactation Consultant, Non-RN | 9233 E Neville Ave Unit 1112, Mesa, AZ 85209-1511 | 2019-06-22 |
| 1639642861 | Emily Barnes | Lactation Consultant, Non-RN | 285 N Kenneth Pl, Chandler, AZ 85226-2944 | 2019-01-10 |
| 1699269878 | Sarah Grace Clay | Lactation Consultant, Non-RN | 8400 S Kyrene Rd Ste 125, Tempe, AZ 85284-2172 | 2018-06-20 |
| 1437670635 | Kimberly Dawn Moore-salas | Lactation Consultant, Non-RN | 8400 S Kyrene Rd Ste 126, Tempe, AZ 85284-2172 | 2017-06-28 |
| 1033653456 | Carol Kidd | Lactation Consultant, Non-RN | 3424 W Tanya Trl, Phoenix, AZ 85086-4328 | 2016-12-05 |
| 1508319054 | Holistic Lactation LLC | Lactation Consultant, Non-RN | 4717 N 33rd Pl, Phoenix, AZ 85018-3316 | 2016-08-02 |
| 1073972915 | Marylou Sandoval | Lactation Consultant, Non-RN | 3536 W San Juan Ave, Phoenix, AZ 85019-4514 | 2016-02-21 |
| 1013374230 | Cynthia Lafferty | Lactation Consultant, Non-RN | 21120 E Stirrup St, Queen Creek, AZ 85142-6524 | 2016-01-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.