Wendy Lunnette Sherwood, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-33712 Issued in WI

Practice address

352 Huron St
Randolph, WI 53956-1012

Phone

(920) 319-1573

NPI assigned

Aug 30, 2022

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

State licenses

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1407576473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 HURON ST",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561012",
            "telephone_number": "920-319-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 HURON ST",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561012",
            "telephone_number": "920-319-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "WENDY",
        "middle_name": "LUNNETTE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "WI",
            "license": "L-33712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Community Rescue Ambulance
• Randolph Family Dental LLC
• Randolph School District
• Shannon N Sandstrom, NP
• Emily J Seltzner, RD
• Tara Sosalla
• Samantha Sussek
• Patricia Jean Vanburen, RN
• Myriel Jamae Werner, DDS
• Ross D Werner, DDS

• Lactation Consultant (Non-RN) in Randolph, WI
• Providers in Randolph, WI by specialty
• Lactation Consultant (Non-RN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.