Kamerin Wagner, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

321 W Mendenhall St
Bozeman, MT 59715-3446

Phone

(406) 200-8548

NPI assigned

Feb 22, 2023

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kamerin O'Neal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tree of Life Doula Care LLC

  • Doula
  • Bozeman, MT
  • NPI 1427758473

  Lactation Consultant, Non-RN

  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1144928763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W MENDENHALL ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153446",
            "telephone_number": "406-200-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W MENDENHALL ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153446",
            "telephone_number": "406-200-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KAMERIN",
        "credential": "CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMERIN",
            "last_name": "O'NEAL",
            "credential": "CLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wade a Darr D.C. P.C.
• Kelsey Wadsworth, DPT
• Holly J Wagley, MSP, CCC-SLP
• Amy Wagner, FNP-C
• Jana Wagner, LCPC
• Stephen Charles Wagner, PHD
• Zillah B. Waine-Shotland, M.A.
• Robert E Waldchen, P.T.
• Hillary Waldeisen
• Catherine F Walgren, PAC

• Lactation Consultant (Non-RN) in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Lactation Consultant (Non-RN) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.