Gertrude Mary Selig, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

106-22486 Issued in VA

Practice address

12000 McCracken Rd
Suite 210
Garfield Heights, OH 44125-2964

Phone

(216) 584-4354

Fax

(216) 584-4355

NPI assigned

May 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1245497494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "SUITE 210",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252964",
            "telephone_number": "216-584-4354",
            "fax_number": "216-584-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "SUITE 210",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252964",
            "telephone_number": "216-584-4354",
            "fax_number": "216-584-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIG",
        "first_name": "GERTRUDE",
        "middle_name": "MARY",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "106-22486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE BOARD OF NURSING",
            "identifier": "RN168536",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAT'L BD LACTATION CONSULTANT EXAMINERS",
            "identifier": "106-22486",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Lactation Consultant (Registered Nurse) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.