Individual provider Active NPI

Courtnie Leeper, RN, MSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Indianapolis, IN
National Provider Identifier
1356977813
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
28197035A Issued in IN
Practice address
8137 Menlo Court East Dr
Indianapolis, IN 46240-4717
Phone
(317) 752-4542
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X 28197035A IN Primary

Addresses

Primary practice location

8137 Menlo Court East Dr
Indianapolis, IN 46240-4717

Mailing address

8137 Menlo Court East Dr
Indianapolis, IN 46240-4717
Phone (317) 752-4542

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.indianabreastfeeding.org/

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28197035AINMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1356977813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8137 MENLO COURT EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404717",
            "telephone_number": "317-752-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8137 MENLO COURT EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404717",
            "telephone_number": "317-752-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEPER",
        "first_name": "COURTNIE",
        "credential": "RN, MSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IN",
            "license": "28197035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.indianabreastfeeding.org/",
            "affiliation": "Y",
            "endpointDescription": "connect through IBC",
            "address_1": "8137 Menlo Court East Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462404717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.