Judith Teibloom-Mishkin, RN, IBCLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.250064 Issued in IL

Practice address

9222 Ridgeway Ave
Evanston, IL 60203-1511

Phone

(847) 679-2246

NPI assigned

Apr 29, 2010

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1164749180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 RIDGEWAY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 RIDGEWAY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031511",
            "telephone_number": "847-679-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIBLOOM-MISHKIN",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.250064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Emil Taussig, LCSW, LMFT
• Andrianna Megan Taylor Kennedy
• Kara Cicely Taylor
• Susan Leigh Taylor, APN-CNP
• K. Jod Taywaditep, PH.D.
• Jeffrey C Teich, M.D.
• Karen Sue Teigiser, LCSW
• Abigail Ann Teisinger, BT
• Mary Ann Teister, CRNA
• Robin Hansen Telander, LMFT

• Registered Nurse in Evanston, IL
• Providers in Evanston, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.