Natalie Kai Dodson-Mendenhall, RN, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Nipomo, CA
NPI 1396401378 · NPPES record last updated Nov 15, 2021
Key facts
- NPI
- 1396401378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 95046552 (CA)
- Practice address
- 625 Crystal Way
Nipomo, CA 93444-9662 - Phone
- (805) 710-9955
- NPI assigned
- Nov 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95046552 | CA | MD | Lactation Consultant (Registered Nurse) |
| L-132893 | CA | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) |
163WL0100X | L-132893 | CA | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 95046552 | CA | Yes |
Addresses
Primary practice location
625 Crystal Way
Nipomo, CA 93444-9662
Mailing address
PO Box 281
Nipomo, CA 93444-0281
Phone (805) 710-9955
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All providers in Nipomo, CA · Lactation Consultant (Registered Nurse) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.