Marilyn Therese Hildreth, RN, IBCLC, ICCE, CD

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

108-56381 Issued in SD

Practice address

4026 Willow LN
Brookings, SD 57006-7016

Phone

(605) 691-5808

NPI assigned

Dec 13, 2009

Last updated

Dec 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1366771834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 WILLOW LN",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570067016",
            "telephone_number": "605-691-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 WILLOW LN",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570067016",
            "telephone_number": "605-691-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "MARILYN",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC, ICCE, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-13",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "SD",
            "license": "108-56381",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "SD",
            "license": "18011",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "SD",
            "license": "03936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrina Hemmer
• Leah Marie Hendrickson
• Erika Pearl Hensch, DC
• Richard S. Hieb, MD
• Nathan William Hilbrands, DDS
• HME Care Services, LLC
• Shaylee Hoff
• Cody M Holder
• Joanie Holm, CNP
• Michael Holmoe, D.O.

• Lactation Consultant (Registered Nurse) in Brookings, SD
• Providers in Brookings, SD by specialty
• Lactation Consultant (Registered Nurse) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.