Individual provider Active NPI

Emily S Jennings, CLC

  • Lactation Consultant (Non-RN)
  • Mt Pleasant, MI
National Provider Identifier
1407279599
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
ALPP ID # 201673 Issued in MI
Practice address
400 S University Ave
Suite B, Room C
Mount Pleasant, MI 48858-3170
Phone
(989) 312-3071
NPI assigned
Jan 27, 2014
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X ALPP ID # 201673 MI Primary
Doula 374J00000X DONA TRAINED DOULA MI

Addresses

Primary practice location

400 S University Ave
Suite B, Room C
Mount Pleasant, MI 48858-3170

Mailing address

4719 Spring LN
Mount Pleasant, MI 48858-8298
Phone (989) 312-3071

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

State licenses

LicenseStateTypeSpecialty
ALPP ID # 201673MIMDLactation Consultant (Non-RN)
DONA TRAINED DOULAMIMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1407279599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 SPRING LN",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588298",
            "telephone_number": "989-312-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S UNIVERSITY AVE",
            "address_2": "SUITE B, ROOM C",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583170",
            "telephone_number": "989-312-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "EMILY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MI",
            "license": "ALPP ID # 201673",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MI",
            "license": "DONA TRAINED DOULA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.