Gina Granto Penque, IBCLC, RLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

618 1/2 Chestnut Ave
Niagara Falls, NY 14305-1802

Phone

(716) 998-3472

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gina Penque Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1154050417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 1/2 CHESTNUT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051802",
            "telephone_number": "716-285-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 1/2 CHESTNUT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051802",
            "telephone_number": "716-998-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTO PENQUE",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "IBCLC, RLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "PENQUE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Lactation Consultant (Non-RN) in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.