Kadie Marie Tannehill, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

208839 Issued in IL

Practice address

2440 Executive Dr Ste 100
Saint Charles, MO 63303-5607

Phone

(636) 244-4994

NPI assigned

May 24, 2017

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.

• Ag Management Group LLC

  • Chiropractor
  • Saint Charles, MO
  • NPI 1477872901
  NPD (past)

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1154859965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OAK VALLEY DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763704",
            "telephone_number": "314-258-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 EXECUTIVE DR STE 100",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035607",
            "telephone_number": "636-244-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNEHILL",
        "first_name": "KADIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "208839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taken by Faith LLC
• Stephanie Taksel
• Fredizminda Castillo Tamayo-Tso, OTL
• Ann Elizabeth Tang, O.D.
• Madlen Tanious
• Amber J Tansey, FNP-C
• Rachel S Tarr, PA-C
• Ashalatha R Tatineny, M.D.
• Adam Winston Taves, MD
• Melissa L Taylor, P.T.

• All providers in Saint Charles, MO
• Lactation Consultant (Non-RN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.