Diadji Wague, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

647541 Issued in NY

Practice address

29 Davenport Ave Apt 5H
New Rochelle, NY 10805-3457

Phone

(347) 613-7775

NPI assigned

Sep 25, 2024

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

Registered Nurse

State licenses

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.

• Cassandra Christopher LLC

  • Lactation Consultant (Non-RN)
  • New York, NY
  • NPI 1992405310
  NPD (past)

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1548087083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DAVENPORT AVE APT 5H",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DAVENPORT AVE APT 5H",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053457",
            "telephone_number": "347-613-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGUE",
        "first_name": "DIADJI",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "647541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malaysia Wade
• Barbara Wafel, L.C.S.W.
• Elijah Waftord
• Cary S Wagner, LCSW
• Jack Wagner, M.D.
• Walk in Family Dental Off.
• Walk in Family Dental Office
• Pilar T. Walker, LMHC
• Sharon Walker, LCSW
• Cardene Crestel Wallace

• Lactation Consultant (Registered Nurse) in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Lactation Consultant (Registered Nurse) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.