Individual provider Active NPI

Maria Christine Walden, ANLC IBCLC BSL BSN

  • Lactation Consultant (Registered Nurse)
  • Sandpoint, ID
National Provider Identifier
1114633674
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
31203 Issued in ID
Practice address
802 Larch St
Sandpoint, ID 83864-1933
Phone
(208) 610-1049
NPI assigned
Jan 27, 2023
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 31203 ID Primary

Addresses

Primary practice location

802 Larch St
Sandpoint, ID 83864-1933

Mailing address

802 Larch St
Sandpoint, ID 83864-1933
Phone (208) 610-1049

Other identifiers 1

IdentifierTypeStateIssuer
1114633674OtherIDID HEALTH AND WELFARE

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
Bachelor of Science - Law, Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
31203IDMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Evebreastfeeding, PLLC Lactation Consultant PastSince Jan 29, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1114633674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 LARCH ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641933",
            "telephone_number": "208-610-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 LARCH ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641933",
            "telephone_number": "208-610-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "MARIA",
        "middle_name": "CHRISTINE",
        "credential": "ANLC IBCLC BSL BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ID",
            "license": "31203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID HEALTH AND WELFARE",
            "identifier": "1114633674",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.