1. Home
  2. Directory
  3. Oklahoma
  4. Broken Arrow
  5. Registered Nurse
  6. NPI Profile

GREEN COUNTRY LACTATION LLC
NPI 1902373327
Registered Nurse - Lactation Consultant in Broken Arrow, OK

Active since October 24, 2018
809 W JUNEAU ST, BROKEN ARROW, OK 74012(918) 671-4876(918) 744-9657 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Country Lactation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN COUNTRY LACTATION LLC (NPI 1902373327) is a healthcare organization registered as a lactation consultant in Broken Arrow, Oklahoma and active in the NPI registry since October 2018. The organization lists Kim Parris, Administrator/co-owner, as its authorized official.

NPPES Registry Identity

NPI1902373327
Entity TypeOrganization
Primary Taxonomy163WL0100X
Legal Business NameGREEN COUNTRY LACTATION LLC
Location Address809 W JUNEAU STBroken Arrow, OK 74012-0765
Mailing Address809 W Juneau StBroken Arrow, OK 74012-0765 · (918) 671-4876 · Fax (918) 744-9657
Phone(918) 671-4876
Fax(918) 744-9657
Organization SubpartNo
Authorized OfficialKim ParrisAdministrator/co-owner · (918) 671-4876
Enumeration DateOctober 24, 2018
✔ NPI 1902373327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
809 W JUNEAU ST, Broken Arrow, OK 74012
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DX LAB
Durable Medical Equipment & Medical Supplies (Customized Equipment)
809 W JUNEAU ST
BROKEN ARROW, OK 74012
Tulsa County (469) 443-6366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Country Lactation LLC's NPI number?

The NPI number for Green Country Lactation LLC is 1902373327. It was assigned to this organization in the NPPES registry on October 24, 2018.

Where is Green Country Lactation LLC located?

Green Country Lactation LLC is located at 809 W Juneau St, Broken Arrow, OK 74012. The listed phone number is (918) 671-4876.

What is Green Country Lactation LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Lactation Consultant, with taxonomy code 163WL0100X.

When was this NPI record last updated?

The NPPES record for Green Country Lactation LLC was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.