Individual provider Active NPI

Diane S Michel, MSPH, IBCLC, RLC

  • Lactation Consultant (Non-RN)
  • Boulder, CO
National Provider Identifier
1083949705
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
108-66501 Issued in CO
Practice address
5233 Laurel Ave
Boulder, CO 80303-2847
Phone
(303) 587-3326
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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 108-66501 CO Primary

Addresses

Primary practice location

5233 Laurel Ave
Boulder, CO 80303-2847

Mailing address

5233 Laurel Ave
Boulder, CO 80303-2847
Phone (303) 587-3326

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

State licenses

LicenseStateTypeSpecialty
108-66501COMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish Lactation Consulting Lactation Consultant, Non-RN CurrentSince Jun 3, 2025 Accepting new patients

Locations

3223 Arapahoe Ave
Ste 123
Boulder, CO 80303
Phone (720) 403-8255

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1083949705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 LAUREL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032847",
            "telephone_number": "303-587-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 LAUREL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032847",
            "telephone_number": "303-587-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "DIANE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSPH, IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CO",
            "license": "108-66501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.