Individual provider Active NPI

Kimberly Anne Cotterman Hawley, IBCLC

  • Lactation Consultant (Non-RN)
  • Washington, DC
National Provider Identifier
1568031094
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-301979
Practice address
1738 Bay St SE
Washington, DC 20003-1646
Phone
(202) 531-7830
NPI assigned
Jun 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-301979 Primary

Addresses

Primary practice location

1738 Bay St SE
Washington, DC 20003-1646

Mailing address

1738 Bay St SE
Washington, DC 20003-1646
Phone (202) 531-7830

Other practice location 1

1020 19th St NW Ste 150
Washington, DC 20036-6103
Phone (202) 293-5182

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

Practice roles

OrganizationSpecialtyStatusNew patients
New BCGW Corp Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1568031094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 BAY ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031646",
            "telephone_number": "202-531-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 BAY ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031646",
            "telephone_number": "202-531-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 19th St NW Ste 150",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200366103",
            "country_code": "US",
            "telephone_number": "202-293-5182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE COTTERMAN",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-301979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.