Active NPI
Cynthia Jean Werner
- Lactation Consultant (Registered Nurse)
- Edwardsburg, MI
National Provider Identifier
1447851183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 28158823A
- Practice address
- 70067 Beach Dr
Edwardsburg, MI 49112-8434 - Phone
- (708) 214-1919
- NPI assigned
- Nov 7, 2020
- 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 | 28158823A | IN | Primary |
Addresses
Primary practice location
70067 Beach Dr
Edwardsburg, MI 49112-8434
Mailing address
70067 Beach Dr
Edwardsburg, MI 49112-8434
Phone (708) 214-1919
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28158823A | IN | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1447851183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70067 BEACH DR",
"city": "EDWARDSBURG",
"state": "MI",
"postal_code": "491128434",
"telephone_number": "708-214-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70067 BEACH DR",
"city": "EDWARDSBURG",
"state": "MI",
"postal_code": "491128434",
"telephone_number": "708-214-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "CYNTHIA",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-07",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "IN",
"license": "28158823A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwardsburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.