Fabulous Birth Support

Lactation Consultant, Non-RN in New York, NY. Organization (NPI-2).

NPI number1033596259

StatusActive

Last updated in NPPESApr 27, 2015

Details

NPI: 1033596259
Entity type: Organization (NPI-2)
Legal business name: Fabulous Birth Support
Organization subpart: No
Enumeration date: Apr 27, 2015
Last updated: Apr 27, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
174N00000X	Lactation Consultant, Non-RN	–	–	Yes
374J00000X	Doula	–	–

Practice location

2655 8th Ave
Apt 4n
New York, NY 10030-1536

Phone 562-774-3289

Mailing address

2655 8th Ave
Apt 4n
New York, NY 10030-1536

Phone 562-774-3289

Authorized official

Alison Wonderland Bacich
Founding Director And Doula
5627743289

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Lactation Consultant (Non-RN) providers in New York, NY

All 47 Lactation Consultant (Non-RN) providers in New York · All 116,115 providers in New York

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check