Amy Lynn Wenger, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

026.0103875 Issued in VT

Practice address

6167 Plott Rd
Waterville, VT 05492-9743

Phone

(802) 922-0405

NPI assigned

Dec 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1376130799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 PLOTT RD",
            "city": "WATERVILLE",
            "state": "VT",
            "postal_code": "054929743",
            "telephone_number": "802-922-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 PLOTT RD",
            "city": "WATERVILLE",
            "state": "VT",
            "postal_code": "054929743",
            "telephone_number": "802-922-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054523228",
            "country_code": "US",
            "telephone_number": "802-922-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Home Health Cir",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054789737",
            "country_code": "US",
            "telephone_number": "802-922-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENGER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VT",
            "license": "026.0103875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherisse Lee Desrosiers, L.C.S.W.
• Rebecca Lynn Ridella, LCMHC
• Angela Theresa Scott I

• Lactation Consultant (Registered Nurse) in Waterville, VT
• Providers in Waterville, VT by specialty
• Lactation Consultant (Registered Nurse) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.