Emily Ann Anderson, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-311920 Issued in KS

Practice address

672 SE Bayberry LN Ste 101
Lees Summit, MO 64063-4262

Phone

(816) 281-7558

NPI assigned

Jun 15, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Good Life Lactation LLC

  • Lactation Consultant (Registered Nurse)
  • Overland Park, KS
  • NPI 1548084288

  Lactation Consultant

  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1124703376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10336 WALMER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121741",
            "telephone_number": "785-456-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 SE BAYBERRY LN STE 101",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634262",
            "telephone_number": "816-281-7558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10336 Walmer St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121741",
            "country_code": "US",
            "telephone_number": "785-456-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "KS",
            "license": "L-311920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Levin Amsterdam, M.D.
• Amy Chow MD Medical Practice LLC
• Anchored in Healing, LLC
• Anderson Dental DDS PC
• Bryan Anderson, PHARM D
• Georgiann L Anderson, RN, MSN
• Jacob Matthew Anderson, D.D.S.
• Kaitlyn Ann Anderson, PLPC
• Linda Crismon Anderson, DDS
• Miriam Lorraine Anderson, O.D.

• All providers in Lees Summit, MO
• Lactation Consultant (Registered Nurse) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.