Individual provider Active NPI

Christine Hennes, IBCLC

  • Specialist
  • San Diego, CA
National Provider Identifier
1295943744
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
6924 Hyde Park Dr Unit 318
San Diego, CA 92119-2263
Phone
(619) 990-6479
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

6924 Hyde Park Dr Unit 318
San Diego, CA 92119-2263

Mailing address

6924 Hyde Park Dr Unit 318
San Diego, CA 92119-2263
Phone (619) 990-6479

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1295943744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 HYDE PARK DR UNIT 318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192263",
            "telephone_number": "619-990-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 HYDE PARK DR UNIT 318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192263",
            "telephone_number": "619-990-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNES",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.