Betsy Ann Bergmann, CLC
Individual provider Active NPI Lactation Consultant (Non-RN) · Grand Island, NY
NPI 1306245808 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1306245808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- ALPP-42983 (NY)
- Practice address
- 1522 Ferry Rd
Grand Island, NY 14072-3026 - Phone
- (716) 628-5262
- NPI assigned
- Aug 20, 2014
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALPP-42983 | NY | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | ALPP-42983 | NY | Yes |
Addresses
Primary practice location
1522 Ferry Rd
Grand Island, NY 14072-3026
Mailing address
1522 Ferry Rd
Grand Island, NY 14072-3026
Phone (716) 628-5262
Other providers in Grand Island, NY
- Darce Anne Barnes
- Emma M Becker
- Dawn Beers
- Laura Catherine Bell
- Teresa S Bellanca
- Joseph W Besl
- Joshua Billica
- Beverly Bishop
- David Scott Blankenberg
- Maura Margaret Bobak
All providers in Grand Island, NY · Lactation Consultant (Non-RN) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. 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.