Active NPI
Diane Louise Benner, MSN, RN, IBCLC, RLC
- Lactation Consultant (Registered Nurse)
- Munster, IN
National Provider Identifier
1568072296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 28104921
- Practice address
- 1925 Tulip LN
Munster, IN 46321-3241 - Phone
- (317) 726-0668
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 28104921 | IN | Primary |
Addresses
Primary practice location
1925 Tulip LN
Munster, IN 46321-3241
Mailing address
1925 Tulip LN
Munster, IN 46321-3241
Phone (317) 726-0668
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28104921A | Other | IN | REGISTERED NURSE LICENSE |
| L-13475 | Other | INTERNATIONAL LACTATION CERTIFICATION ASSOCIATION | |
| 041409047 | Other | IL | REGISTERED NURSE LICENSE |
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28104921 | IN | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partum Health Service Corporation | 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.
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- Chicago, IL
- NPI 1316694193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1568072296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 TULIP LN",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213241",
"telephone_number": "317-726-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 TULIP LN",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213241",
"telephone_number": "317-726-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNER",
"first_name": "DIANE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "MSN, RN, IBCLC, RLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "IN",
"license": "28104921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "28104921A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL LACTATION CERTIFICATION ASSOCIATION",
"identifier": "L-13475",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "041409047",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.