Active NPI
Jeanne B. Hanlon, RN,IBCLC,CBE
- Lactation Consultant (Registered Nurse)
- Wayland, MA
National Provider Identifier
1407618028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 154139
- Practice address
- 76 Main St
Wayland, MA 01778-4908 - Phone
- (744) 421-9990
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 154139 | MA | Primary |
Addresses
Primary practice location
76 Main St
Wayland, MA 01778-4908
Mailing address
14 Pemberton Rd
Wayland, MA 01778-4818
Phone (508) 380-5651
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
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1407618028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PEMBERTON RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017784818",
"telephone_number": "508-380-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 MAIN ST",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017784908",
"telephone_number": "744-421-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON",
"first_name": "JEANNE",
"middle_name": "B.",
"credential": "RN,IBCLC,CBE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "MA",
"license": "154139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.