Organization
NOURISHED ROOTS LACTATION LLC
Active
Organization
NOURISHED ROOTS LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER ALLEN GINN IBCLC (OWNER)
(336) 287-2042
Entity
Organization
Contact information
Practice address
211 W WACKER DR STE 120, CHICAGO, IL 60606-1377
(336) 287-2042
Mailing address
1702 LONE HICKORY RD, YADKINVILLE, NC 27055-6242
(336) 287-2042
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
12/03/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up