Individual provider Active NPI

Mindy Wajcman, CONSULTANT, RN

  • Lactation Consultant (Registered Nurse)
  • Overland Park, KS
National Provider Identifier
1609104777
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
13-043613-061 Issued in KS
Practice address
12541 Foster St
Suite 260
Overland Park, KS 66213-2630
Phone
(913) 906-0900
NPI assigned
Nov 30, 2009
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 13-043613-061 KS Primary

Addresses

Primary practice location

12541 Foster St
Suite 260
Overland Park, KS 66213-2630

Mailing address

12541 Foster St
Suite 260
Overland Park, KS 66213-2630
Phone (913) 906-0900

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
13-043613-061KSMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1609104777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12541 FOSTER ST",
            "address_2": "SUITE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132630",
            "telephone_number": "913-906-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 FOSTER ST",
            "address_2": "SUITE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132630",
            "telephone_number": "913-906-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJCMAN",
        "first_name": "MINDY",
        "credential": "CONSULTANT, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "KS",
            "license": "13-043613-061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.