Individual provider Active NPI

Lauryn E Ulam, IBCLC

  • Lactation Consultant (Non-RN)
  • Trail Creek, IN
National Provider Identifier
1124683529
Registry record updated Aug 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
112 Whipporwill Ave
Trail Creek, IN 46360-6447
Phone
(219) 229-9330
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2022

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 Primary

Addresses

Primary practice location

112 Whipporwill Ave
Trail Creek, IN 46360-6447

Mailing address

112 Whipporwill Ave
Trail Creek, IN 46360-6447
Phone (219) 229-9330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauryn@hoosierbreastfriend.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoosier Breast Friend LLC Lactation Consultant, Non-RN CurrentSince Feb 1, 2022 Accepting new patients

Locations

16345 Harlem Ave
Ste 250
Tinley Park, IL 60477
Phone (708) 548-9398

710 Merrillville Rd
Unit 5
Crown Point, IN 46307
Phone (219) 229-9330

1026 N Karwick Rd
Michigan City, IN 46360
Phone (219) 229-9330

5877 Central Ave
Ste B
Portage, IN 46368
Phone (219) 229-9330

1600 Niles Ave
Saint Joseph, MI 49085
Phone (269) 983-1812

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661644800000",
    "number": "1124683529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WHIPPORWILL AVE",
            "city": "TRAIL CREEK",
            "state": "IN",
            "postal_code": "463606447",
            "telephone_number": "219-229-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WHIPPORWILL AVE",
            "city": "TRAIL CREEK",
            "state": "IN",
            "postal_code": "463606447",
            "telephone_number": "219-229-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULAM",
        "first_name": "LAURYN",
        "middle_name": "E",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2022-08-28",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauryn@hoosierbreastfriend.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "112 Whipporwill Ave",
            "city": "Trail Creek",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463606447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trail Creek, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2022; 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.