Individual provider Active NPI

Cortney Austin Mactaggart, IBCLC

  • Lactation Consultant (Non-RN)
  • Bellevue, NE
National Provider Identifier
1326411091
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-82469 Issued in NE
Practice address
2802 Arrowhead LN
Bellevue, NE 68123-4612
Phone
(402) 515-7886
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-82469 NE Primary

Addresses

Primary practice location

2802 Arrowhead LN
Bellevue, NE 68123-4612

Mailing address

2802 Arrowhead LN
Bellevue, NE 68123-4612
Phone (402) 515-7886

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

LicenseStateTypeSpecialty
L-82469NEMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1326411091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ARROWHEAD LN",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234612",
            "telephone_number": "402-515-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ARROWHEAD LN",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234612",
            "telephone_number": "402-515-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACTAGGART",
        "first_name": "CORTNEY",
        "middle_name": "AUSTIN",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NE",
            "license": "L-82469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.