Judy Ann Bergsmith, RN-IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Dekalb, IL
NPI 1497087282 · NPPES record last updated Feb 4, 2010
Key facts
- NPI
- 1497087282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 041.231280 (IL)
- Practice address
- 147 N 2ND St
Suite 11
Dekalb, IL 60115-3276 - Phone
- (815) 517-1783
- Fax
- (815) 517-1783
- NPI assigned
- Feb 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.231280 | IL | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 041.231280 | IL | Yes |
Addresses
Primary practice location
147 N 2ND St
Suite 11
Dekalb, IL 60115-3276
Mailing address
147 N 2ND St
Suite 11
Dekalb, IL 60115-3276
Phone (815) 517-1783
Other providers in Dekalb, IL
- Ben Gordon Center
- Ben Gordon Center
- Ben Gordon Center
- Ben Gordon Center
- Ben Gordon Center
- Christopher John Berry
- Sothida Berry
- Katrina Marie Best
- Bethany Health, L.L.C.
- Danielle Lynn Beukema
All providers in Dekalb, IL · Lactation Consultant (Registered Nurse) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.