Individual provider Active NPI

Katherine Linda, IBCLC

  • Lactation Consultant (Non-RN)
  • Baltimore, MD
National Provider Identifier
1124395355
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11134212 Issued in MD
Practice address
2 Hamill Rd Ste 344W
Baltimore, MD 21210-1806
Phone
(410) 929-2455
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 11134212 MD Primary

Addresses

Primary practice location

2 Hamill Rd Ste 344W
Baltimore, MD 21210-1806

Mailing address

1810 Roland Ave
Baltimore, MD 21204-3529
Phone (410) 929-2455

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
11134212MDMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
The Breastfeeding Den, LLC Lactation Consultant, Non-RN CurrentSince Jan 17, 2021 Accepting new patients

Locations

2 Hamill Rd
Ste 344W
Baltimore, MD 21210
Phone (410) 929-2455

2 Hamill Rd
Ste 344
Baltimore, MD 21210
Phone (410) 323-3500

836 Ritchie Hwy
Ste 17
Severna Park, MD 21146

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": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1124395355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 ROLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212043529",
            "telephone_number": "410-929-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 344W",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101806",
            "telephone_number": "410-929-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDA",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MD",
            "license": "11134212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.