NPIMap

Organization Active NPI

Ignite Life

  • Lactation Consultant (Non-RN)
  • Springfield, NE
National Provider Identifier
1043616840
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-66768 Issued in NE
Legal business name
IGNITE LIFE
Practice address
780 N 1St St
Springfield, NE 68059-4704
Phone
(402) 915-1559
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Mrs. Ashlie Bergren, RN BSN IBCLC
Title
Owner/Ibclc
Phone
(402) 915-1559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X L-66768 NE Primary

Addresses

Primary practice location

780 N 1St St
Springfield, NE 68059-4704

Mailing address

780 N 1St St
Springfield, NE 68059

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1043616840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "68059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "680594704",
            "telephone_number": "402-915-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "BERGREN",
        "authorized_official_first_name": "ASHLIE",
        "authorized_official_title_or_position": "OWNER/IBCLC",
        "authorized_official_telephone_number": "402-915-1559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NE",
            "license": "L-66768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.