Teresa Rene Good, RN, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Okanogan, WA
NPI 1194364604 · NPPES record last updated Dec 31, 2019
Key facts
- NPI
- 1194364604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- L-154273 (WA)
- Practice address
- 33 Appleway Road
Okanogan, WA 98840 - Phone
- (509) 429-0655
- NPI assigned
- Dec 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-154273 | WA | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) |
163WL0100X | L-154273 | WA | Yes |
Addresses
Primary practice location
33 Appleway Road
Okanogan, WA 98840
Mailing address
33 Appleway Road
Okanogan, WA 98840
Phone (509) 429-0655
Other providers in Okanogan, WA
- Family Health Centers
- Family Health Centers
- Family Health Centers Dental
- Family Health Centers Omak
- Jessica Marie Fodge
- Grace Medical Supply LLC
- Theodore Graham
- Denny Willis Homer
- Roy Huffstetler
- J and S Drug
All providers in Okanogan, WA · Lactation Consultant (Registered Nurse) in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.