Individual provider Active NPI

Jean Racquel Krause, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Merrillville, IN
National Provider Identifier
1093368375
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
28146799A Issued in IN
Practice address
300 W 80TH PL Ste a
Merrillville, IN 46410-5476
Phone
(219) 232-6522
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 28146799A IN Primary

Addresses

Primary practice location

300 W 80TH PL Ste a
Merrillville, IN 46410-5476

Mailing address

7704 Eider Ave
Hobart, IN 46342-6871
Phone (219) 805-8049

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address racquel.krause@momsensenwi.net

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
28146799AINMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Momsense Breastfeeding Medicine Solutions, LLC CurrentSince Mar 31, 2024 Accepting new patients

Locations

300 W 80th Pl
Ste C
Merrillville, IN 46410
Phone (219) 738-2741

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1093368375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 EIDER AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426871",
            "telephone_number": "219-805-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 80TH PL STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105476",
            "telephone_number": "219-232-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "JEAN",
        "middle_name": "RACQUEL",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IN",
            "license": "28146799A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "racquel.krause@momsensenwi.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "300 W 80th Pl Ste A",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464105476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.