Lisa Thude

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-313988 Issued in PA

Practice address

28 Valley View Dr
Collegeville, PA 19426-4412

Phone

(610) 639-1879

NPI assigned

Dec 19, 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

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.

• Latched Wellness LLC

  • Lactation Consultant (Registered Nurse)
  • Collegeville, PA
  • NPI 1588543482
  NPD Authorized official

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1144098104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 VALLEY VIEW DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264412",
            "telephone_number": "610-639-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VALLEY VIEW DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264412",
            "telephone_number": "610-639-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUDE",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "PA",
            "license": "L-313988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cinthia Taylor
• Genevieve Rivera Teetie, FNP-BC
• The Dental Spot, LLC
• Debra Schroeder Thompson, MSW
• Judith Elaine Thompson, MS
• Clara C. Tiburcio, MD
• Erin Titze, LCSW, M.ED
• Kevin Titze, PSYD
• Kimberly Ann Tobin, CRNP
• Roger C Tolley, DDS

• Lactation Consultant (Registered Nurse) in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Lactation Consultant (Registered Nurse) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.