Megan McConkey Moeller, IBCLC, LMT, CST-T

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

600 E State St Ste 100
Eagle, ID 83616-6082

Phone

(208) 912-5682

NPI assigned

Jul 28, 2026

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

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1235051798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 N SILVER WOLF AVE",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836691073",
            "telephone_number": "208-440-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E STATE ST STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166082",
            "telephone_number": "208-912-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2687 N Silver Wolf Ave",
            "address_purpose": "LOCATION",
            "city": "Star",
            "state": "ID",
            "postal_code": "836691073",
            "country_code": "US",
            "telephone_number": "208-440-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "MEGAN",
        "middle_name": "MCCONKEY",
        "credential": "IBCLC, LMT, CST-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Mitchell, PH.D.
• Kristen Mitchell, DPT
• Mobile Rehab Group LLC
• Modern Psychotherapy Services
• Modern Speech and Myofunctional Therapy, LLC
• Elwalid Mohamed
• Jessie Jylene Monahan, LMT
• Martha Arleen Monroe, PH.D., LMFT
• Kristin Moore, D.C.
• Lisa June Moore, NURSE PRACTITIONER

• Lactation Consultant (Non-RN) in Eagle, ID
• Providers in Eagle, ID by specialty
• Lactation Consultant (Non-RN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.