Madelyn Lee Brunow, RNC, IBCLC, RLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

102605 Issued in IA

Practice address

3539 230TH St
Woodbine, IA 51579-5064

Phone

(712) 592-9814

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1619320777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 230TH ST",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "515795064",
            "telephone_number": "712-592-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 230TH ST",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "515795064",
            "telephone_number": "712-592-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNOW",
        "first_name": "MADELYN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RNC, IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IA",
            "license": "102605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa (CHI Health Clinic Woodbine)
• Ryan Michael Allen, CPTA
• Bridget-NP PLLC (Hometown Wellness Collective Psychiatric Services)
• Calvin Ray Christophersen, D.C.
• Daniel Desjardins, MD
• Anthony Dimari, TLMHC
• DT Woodbine, LLC
• Efficient Health PLLC

• Lactation Consultant (Registered Nurse) in Woodbine, IA
• Providers in Woodbine, IA by specialty
• Lactation Consultant (Registered Nurse) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.