Meredith Conrad Nimitz, RN, CPN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

112231 Issued in WV

Practice address

10000 Coombs Farm Rd Ste 106
Morgantown, WV 26508-1157

Phone

(814) 244-3836

NPI assigned

Feb 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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

• Maezer, LLC

  • Family Nurse Practitioner
  • Morgantown, WV
  • NPI 1972211712

  Lactation Consultant

  NPD

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1336892009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 COOMBS FARM RD STE 106",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081157",
            "telephone_number": "814-244-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 COOMBS FARM RD STE 106",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081157",
            "telephone_number": "814-244-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMITZ",
        "first_name": "MEREDITH",
        "middle_name": "CONRAD",
        "credential": "RN, CPN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "PA",
            "license": "RN630974",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WV",
            "license": "112231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@breastfeedingforbusymoms.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Breastfeeding questions/advice/referrals",
            "address_1": "709 Beechurst Ave Ste 8",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265054689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Nieto Rickenbach
• Josiah Daniel Nieto
• Luis Miguel Nieto, MD
• Barbara Nightengale, NNP
• Rochelle Nikzad
• Santosh Kiran Nimkar, DO
• Angel Ninan, LGSW
• Yosef Chaim Nissim, PHARMD
• Brittany Niznansky, MD
• Tabot-Ntoung Clara Nkongho, M.D.

• Lactation Consultant (Registered Nurse) in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Lactation Consultant (Registered Nurse) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.