Fort Wayne Doulas, LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

FORT WAYNE DOULAS, LLC

Practice address

407 Airport North Office Park Ste a
Fort Wayne, IN 46825-6704

Phone

(260) 782-4666

Fax

(800) 776-4346

NPI assigned

Aug 15, 2025

Organization subpart

No

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

Authorized official

Name

Amy Sickels, IBCLCNPI 1992522858

Title

Owner

Phone

(260) 782-4666

Specialties & licenses 1

Addresses

Other names 1

• Fort Wayne Lactation Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Jo Sickels, IBCLC

  • Lactation Consultant (Non-RN)
  • Fort Wayne, IN
  • NPI 1992522858

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1043196876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AIRPORT NORTH OFFICE PARK STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256704",
            "telephone_number": "260-782-4666",
            "fax_number": "800-776-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AIRPORT NORTH OFFICE PARK STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256704",
            "telephone_number": "260-782-4666",
            "fax_number": "800-776-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE DOULAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "SICKELS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-782-4666",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Wayne Lactation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lactation Consultant (Non-RN) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Lactation Consultant (Non-RN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.