Active NPI
Gina Widner
- Lactation Consultant (Non-RN)
- Osceola, IN
National Provider Identifier
1356040653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 10775 McKinley Hwy Ste C
Osceola, IN 46561-9164 - Phone
- (574) 213-2102
- NPI assigned
- Feb 27, 2023
- 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 (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
10775 McKinley Hwy Ste C
Osceola, IN 46561-9164
Mailing address
10775 McKinley Hwy Ste C
Osceola, IN 46561-9164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L-308297 | Other | IBCLE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk Guide Lactation LLC | Lactation Consultant, Non-RN | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Mishawaka, IN
- NPI 1003407230
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1356040653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10775 MCKINLEY HWY STE C",
"city": "OSCEOLA",
"state": "IN",
"postal_code": "465619164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10775 MCKINLEY HWY STE C",
"city": "OSCEOLA",
"state": "IN",
"postal_code": "465619164",
"telephone_number": "574-213-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDNER",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBCLE",
"identifier": "L-308297",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Osceola, IN
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.