Active NPI
Alice Christensen
- Lactation Consultant (Registered Nurse)
- Grand Rapids, MI
National Provider Identifier
1306394085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 4704133074
- Practice address
- 1638 Margaret Ave SE
Grand Rapids, MI 49507-2230 - Phone
- (616) 885-6416
- Fax
- (616) 245-3456
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 4704133074 | MI | Primary |
Addresses
Primary practice location
1638 Margaret Ave SE
Grand Rapids, MI 49507-2230
Mailing address
1638 Margaret Ave SE
Grand Rapids, MI 49507-2230
Phone (616) 885-6416
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704133074 | MI | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1306394085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 MARGARET AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495072230",
"telephone_number": "616-885-6416",
"fax_number": "616-245-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 MARGARET AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495072230",
"telephone_number": "616-885-6416",
"fax_number": "616-245-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "MI",
"license": "4704133074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.