Amanda Janzen, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-108233 Issued in KS

Practice address

1525 Rural St
Emporia, KS 66801-5545

Phone

(620) 222-8514

NPI assigned

Dec 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Defore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545436800000",
    "number": "1023580412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 RURAL ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015545",
            "telephone_number": "620-222-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 RURAL ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015545",
            "telephone_number": "620-222-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANZEN",
        "first_name": "AMANDA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-22",
        "last_updated": "2018-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "KS",
            "license": "L-108233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DEFORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lactation Consultant (Registered Nurse) in Emporia, KS
• Providers in Emporia, KS by specialty
• Lactation Consultant (Registered Nurse) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2018; 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.