Gena Kay Gresham, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

8670 W Cheyenne Ave
Suite 120
Las Vegas, NV 89129-7456

Phone

(702) 425-2791

Fax

(725) 877-2701

NPI assigned

Aug 16, 2012

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

Other identifiers 1

Other names 1

• Zena Kay Ingram Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1497003719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297456",
            "telephone_number": "702-425-2791",
            "fax_number": "725-877-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297456",
            "telephone_number": "702-425-2791",
            "fax_number": "725-877-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "GENA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "10623419",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZENA",
            "last_name": "INGRAM",
            "middle_name": "KAY",
            "credential": "IBCLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sierra Gregory
• Steven F Gregurek, M.D.
• Katie Gregurich
• Theresa Greisman
• Alexandra Grelecki
• Sariah Gresham
• David Gress
• Christine Gretka, OTR
• Aishia Grevenberg, LCSW
• Alena Grewal, DNP, APRN, FNP-BC

• Lactation Consultant (Non-RN) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Lactation Consultant (Non-RN) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.