Individual provider Active NPI

Victoria Lee Golden, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Munster, IN
National Provider Identifier
1063022366
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
28160367A Issued in IN
Practice address
1925 Tulip LN
Munster, IN 46321-3241
Phone
(219) 359-0803
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 041237171 IL
Lactation Consultant (Registered Nurse) 163WL0100X 28160367A IN Primary

Addresses

Primary practice location

1925 Tulip LN
Munster, IN 46321-3241

Mailing address

4924 Cardinal CT
Schererville, IN 46375-3344
Phone (219) 359-0803

Other identifiers 3

IdentifierTypeStateIssuer
28160367AOtherININDIANA DEPARTMENT OF REGULATION NURSING BOARD
L-18631OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
041237171OtherILILLINOIS DEPARTMENT OF REGULATION NURSING BOARD

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041237171ILMDLactation Consultant (Registered Nurse)
28160367AINMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1063022366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 CARDINAL CT",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753344",
            "telephone_number": "219-359-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 TULIP LN",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213241",
            "telephone_number": "219-359-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041237171",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IN",
            "license": "28160367A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA DEPARTMENT OF  REGULATION NURSING BOARD",
            "identifier": "28160367A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS",
            "identifier": "L-18631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF REGULATION NURSING BOARD",
            "identifier": "041237171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.