Active NPI
Wendy Shore, RNC, IBCLC, RLC
- Lactation Consultant (Registered Nurse)
- York, PA
National Provider Identifier
1174872402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 10218720
- Practice address
- 1225 East Market Street
York, PA 17403 - Phone
- (717) 845-9639
- NPI assigned
- Aug 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 10218720 | PA | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | RN336223L | PA |
Addresses
Primary practice location
1225 East Market Street
York, PA 17403
Mailing address
1225 East Market Street
York, PA 17403
Phone (717) 845-9639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232429785 | Other | PA | IRS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10218720 | PA | MD | Lactation Consultant (Registered Nurse) |
| RN336223L | PA | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1174872402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 EAST MARKET STREET",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-845-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 EAST MARKET STREET",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-845-9639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORE",
"first_name": "WENDY",
"credential": "RNC, IBCLC, RLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "PA",
"license": "10218720",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "PA",
"license": "RN336223L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "232429785",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.