Individual provider Active NPI

Rebecca Christine Fenner, BSN,IBCLC

  • Lactation Consultant (Registered Nurse)
  • Tomball, TX
National Provider Identifier
1316802580
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-313999 Issued in TX
Practice address
11714 Boudreaux Rd # 224
Tomball, TX 77375-7369
Phone
(281) 516-8406
NPI assigned
Dec 19, 2025
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 977294 TX
Lactation Consultant (Registered Nurse) 163WL0100X L-313999 TX Primary

Addresses

Primary practice location

11714 Boudreaux Rd # 224
Tomball, TX 77375-7369

Mailing address

27708 Tomball Pkwy 266
Tomball, TX 77375

Other names 1

  • Christine Fenner Professional name

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
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
977294TXMDLactation Consultant (Registered Nurse)
L-313999TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
The Mama Coach - Christine Fenner LLC Lactation Consultant CurrentSince Jan 4, 2026 Accepting new patients

Locations

11714 Boudreaux Rd
#224
Tomball, TX 77375
Phone (281) 516-8406

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1316802580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27708 TOMBALL PKWY 266",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11714 BOUDREAUX RD # 224",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773757369",
            "telephone_number": "281-516-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNER",
        "first_name": "REBECCA",
        "middle_name": "CHRISTINE",
        "credential": "BSN,IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "977294",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-313999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "FENNER",
            "credential": "BSN,IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.