Individual provider Active NPI

Natasha Rose Brockhaus, B.S., IBCLC

  • Lactation Consultant (Non-RN)
  • Columbus, IN
National Provider Identifier
1508201344
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11184180
Practice address
2780 W Carr Hill Rd
Columbus, IN 47201-4984
Phone
(812) 374-2746
Fax
(812) 375-0949
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X IN
Lactation Consultant (Non-RN) 174N00000X 11184180 Primary

Addresses

Primary practice location

2780 W Carr Hill Rd
Columbus, IN 47201-4984

Mailing address

2780 W Carr Hill Rd
Columbus, IN 47201-4984
Phone (812) 374-2746

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1508201344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 W CARR HILL RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472014984",
            "telephone_number": "812-374-2746",
            "fax_number": "812-375-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 W CARR HILL RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472014984",
            "telephone_number": "812-374-2746",
            "fax_number": "812-375-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKHAUS",
        "first_name": "NATASHA",
        "middle_name": "ROSE",
        "credential": "B.S., IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "11184180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.