Individual provider Active NPI

Bridget Lynn Knaperek, IBCLC

  • Lactation Consultant (Non-RN)
  • Orland Hills, IL
National Provider Identifier
1093591588
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L313533 Issued in IL
Practice address
16745 89TH Ave
Orland Hills, IL 60487-6003
Phone
(708) 745-4910
NPI assigned
Aug 31, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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 L313533 IL Primary

Addresses

Primary practice location

16745 89TH Ave
Orland Hills, IL 60487-6003

Mailing address

16745 89TH Ave
Orland Hills, IL 60487-6003
Phone (708) 745-4910

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
L313533ILMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1093591588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16745 89TH AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604876003",
            "telephone_number": "708-745-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16745 89TH AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604876003",
            "telephone_number": "708-745-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPEREK",
        "first_name": "BRIDGET",
        "middle_name": "LYNN",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "L313533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.