Individual provider Active NPI

Crystal Winstead-Heinecke, IBCLC

  • Lactation Consultant (Non-RN)
  • Tempe, AZ
National Provider Identifier
1174000145
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-132313 Issued in AZ
Practice address
8400 S Kyrene Rd
Tempe, AZ 85284-2100
Phone
(480) 442-8491
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-132313 AZ Primary

Addresses

Primary practice location

8400 S Kyrene Rd
Tempe, AZ 85284-2100

Mailing address

413 E Harvard Ave
Gilbert, AZ 85234-3422
Phone (480) 442-8491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L-132313AZMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1174000145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E HARVARD AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343422",
            "telephone_number": "480-442-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 S KYRENE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842100",
            "telephone_number": "480-442-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTEAD-HEINECKE",
        "first_name": "CRYSTAL",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AZ",
            "license": "L-132313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.