Individual provider Active NPI

Ashley Kula-Imtiaz, IBCLC

  • Lactation Consultant (Non-RN)
  • Edmond, OK
National Provider Identifier
1083329411
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-309216
Practice address
217 E Campbell St Ste 215
Edmond, OK 73034-4660
Phone
(405) 326-9618
Fax
(405) 896-9377
NPI assigned
Jan 19, 2023
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-309216 Primary

Addresses

Primary practice location

217 E Campbell St Ste 215
Edmond, OK 73034-4660

Mailing address

217 E Campbell St Ste 215
Edmond, OK 73034-4660
Phone (405) 326-9618

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley@peacefulrootslactation.com

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

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1083329411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E CAMPBELL ST STE 215",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344660",
            "telephone_number": "405-326-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E CAMPBELL ST STE 215",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344660",
            "telephone_number": "405-326-9618",
            "fax_number": "405-896-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULA-IMTIAZ",
        "first_name": "ASHLEY",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-309216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@peacefulrootslactation.com",
            "affiliation": "N",
            "endpointDescription": "hipaa compliant email",
            "address_1": "217 E Campbell St Ste 215",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730344660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.