Molly G Peterson, BS, IBCLC, RLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

530 N 108TH PL
Wauwatosa, WI 53226-4253

Phone

(414) 231-9640

NPI assigned

Jan 21, 2019

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

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peterson Lactation Services

  • Lactation Consultant (Non-RN)
  • Wauwatosa, WI
  • NPI 1538732078

  Lactation Consultant, Non-RN

  NPD Authorized official
• Wisco Lactation LLC

  • Home Health Agency
  • Wauwatosa, WI
  • NPI 1609442599

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1497229710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 73RD ST APT 201",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423561",
            "telephone_number": "815-761-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-231-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MOLLY",
        "middle_name": "G",
        "credential": "BS, IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Perteet
• Amy K Petersdorf, MA
• Talya Marie Petersik, M.S.
• Peterson Lactation Services
• Kimberly Anne Peterson, M.A. CCC-SLP
• Tracy M Peterson, NURSE PRACTIONER
• Janelle Marie Petinga, ANP-BC
• Katelin Petrin, CPNP
• Jacquelyn P Petropoulos, PTA
• Michael Anthony Pezewski, PHARMD

• Lactation Consultant (Non-RN) in Wauwatosa, WI
• Providers in Wauwatosa, 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 Jan 21, 2019; 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.