Rebecca Eileen Humes, RN, IBCLC

Individual provider Active NPI Lactation Consultant (Registered Nurse) · Fowler, IN

NPI 1497536205 · NPPES record last updated Oct 9, 2023

Key facts

NPI
1497536205
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
28167318A (IN)
Practice address
2109 E 100 N
Fowler, IN 47944-8508
Phone
(765) 715-0409
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28167318AINMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fifty Two B.E.a.M.S., LLC Lactation Consultant Current
since Oct 15, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 28167318A IN
Lactation Consultant (Registered Nurse) 163WL0100X 28167318A IN Yes

Addresses

Primary practice location

2109 E 100 N
Fowler, IN 47944-8508

Mailing address

PO Box 52
Fowler, IN 47944-0052
Phone (574) 850-0143

Other providers in Fowler, IN

All providers in Fowler, IN · Lactation Consultant (Registered Nurse) in Indiana

Sources for this page

Verify at the official NPI Registry.