Individual provider Active NPI

Katelyn Joy Friedt, BSDH, IBCLC, ICST-C

  • Lactation Consultant (Non-RN)
  • Spearfish, SD
National Provider Identifier
1093496457
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
526 W Jackson Blvd
Spearfish, SD 57783-1909
Phone
(701) 220-5143
NPI assigned
Jul 28, 2023
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 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)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

526 W Jackson Blvd
Spearfish, SD 57783-1909

Mailing address

526 W Jackson Blvd
Spearfish, SD 57783-1909
Phone (701) 220-5143

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": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1093496457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W JACKSON BLVD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831909",
            "telephone_number": "701-220-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W JACKSON BLVD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831909",
            "telephone_number": "701-220-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDT",
        "first_name": "KATELYN",
        "middle_name": "JOY",
        "credential": "BSDH, IBCLC, ICST-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.