Individual provider Active NPI

Katherine Michael, MD, MHS, IBCLC

  • Lactation Consultant (Non-RN)
  • Fredericksburg, VA
National Provider Identifier
1023731700
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
11717 Lottie CT
Fredericksburg, VA 22407-1769
Phone
(856) 834-4410
NPI assigned
Sep 19, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

11717 Lottie CT
Fredericksburg, VA 22407-1769

Mailing address

11717 Lottie CT
Fredericksburg, VA 22407-1769
Phone (856) 834-4410

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL app.getboober.com/katherinemichael Direct Boober, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1023731700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 LOTTIE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071769",
            "telephone_number": "856-834-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 LOTTIE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071769",
            "telephone_number": "856-834-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD, MHS, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "app.getboober.com/katherinemichael",
            "affiliation": "Y",
            "endpointDescription": "website profile",
            "affiliationName": "Boober, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11717 Lottie Ct",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224071769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.