Active NPI
Stephanie Pappas-Hudelson, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Fort Leavenworth, KS
National Provider Identifier
1306596333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-314029
- Practice address
- 811 4TH Artillery Rd
Fort Leavenworth, KS 66027 - Phone
- (917) 408-3102
- NPI assigned
- Mar 24, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 14-161195-112 | KS | |
| Registered Nurse | 163W00000X | 831771 | NY | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 831771 | NY | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-314029 | KS | Primary |
Addresses
Primary practice location
811 4TH Artillery Rd
Fort Leavenworth, KS 66027
Mailing address
811 4TH Artillery Rd
Fort Leavenworth, KS 66027-1179
Phone (917) 408-3102
Other practice location 1
346 N Montgomery St
Newburgh, NY 12550-3642
Phone (609) 516-7184
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-161195-112 | KS | MD | Registered Nurse |
| L-314029 | KS | MD | Lactation Consultant (Registered Nurse) |
| 831771 | NY | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1306596333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 4TH ARTILLERY RD",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "660271179",
"telephone_number": "917-408-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 4TH ARTILLERY RD",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "66027",
"telephone_number": "917-408-3102"
}
],
"practiceLocations": [
{
"address_1": "346 N Montgomery St",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "NY",
"postal_code": "125503642",
"country_code": "US",
"telephone_number": "609-516-7184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPPAS-HUDELSON",
"first_name": "STEPHANIE",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2024-01-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-161195-112",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "831771",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "831771",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "KS",
"license": "L-314029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.