Gayle Anne Owen, RN IBCLC LC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

077331 Issued in GA

Practice address

596 Bankstown Rd
Brooks, GA 30205-2219

Phone

(770) 856-0890

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1114533387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 BANKSTOWN RD",
            "city": "BROOKS",
            "state": "GA",
            "postal_code": "302052219",
            "telephone_number": "770-856-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 BANKSTOWN RD",
            "city": "BROOKS",
            "state": "GA",
            "postal_code": "302052219",
            "telephone_number": "770-856-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "GAYLE",
        "middle_name": "ANNE",
        "credential": "RN IBCLC LC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "077331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACTATION",
            "identifier": "28744",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Britt
• Gaynor Durden, CRNA
• Iva L King
• Angela Leischner, PHARMD
• Lauretta Nester, PA
• Pamela Ann Pendleton, OTR
• Joseph M Smith, M.D.
• Talk It Up, Inc
• Allison Waltz, LPC
• Laura Hicks Wilkinson

• Lactation Consultant (Registered Nurse) in Brooks, GA
• Providers in Brooks, GA by specialty
• Lactation Consultant (Registered Nurse) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.