Ivy Warner, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-315046 Issued in IN

Practice address

10775 McKinley Hwy Ste C
Osceola, IN 46561-9164

Phone

(574) 315-3196

NPI assigned

Jun 16, 2022

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hello@milkguide.com

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.

• Milk Guide Lactation LLC

  dba Milk Guide

  • Multi-Specialty Clinic/Center
  • Mishawaka, IN
  • NPI 1003407230

  Counselor

  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1154051621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10775 MCKINLEY HWY STE C",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465619164",
            "telephone_number": "574-315-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10775 MCKINLEY HWY STE C",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465619164",
            "telephone_number": "574-315-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "IVY",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IN",
            "license": "L-315046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS",
            "identifier": "L-315046",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF LACTATION PRACTICE AND POLICY",
            "identifier": "341364",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@milkguide.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Milk Guide Lactation LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10275 Peotone Dr",
            "city": "Granger",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465307744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Theracare Inc (Footprints Pediatric Inc)
• Regina Uribe, LMHC
• Kristin Lynn Vincent, C.N.M.
• Anne Marie Wagner-Angel, LMHC
• Emilee Wagner
• Donald Paul Warren, DC
• Kristina Wendler, RN, CLS
• Gina Widner

• Lactation Consultant (Non-RN) in Osceola, IN
• Providers in Osceola, IN by specialty
• Lactation Consultant (Non-RN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.