Individual provider Active NPI

Jennifer Hauser, IBCLC, RLC

  • Lactation Consultant (Registered Nurse)
  • Glencoe, MN
National Provider Identifier
1639314883
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
108-27103 Issued in MN
Practice address
1805 Ford Ave N
Ste 200, McLeod County Public Health
Glencoe, MN 55336-1363
Phone
(320) 864-3185
Fax
(320) 864-1484
NPI assigned
Dec 2, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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 108-27103 MN Primary

Addresses

Primary practice location

1805 Ford Ave N
Ste 200, McLeod County Public Health
Glencoe, MN 55336-1363

Mailing address

1805 Ford Ave N
Suite 200
Glencoe, MN 55336-1363
Phone (320) 864-3185

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

State licenses

LicenseStateTypeSpecialty
108-27103MNMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod County Public Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1639314883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 FORD AVE N",
            "address_2": "SUITE 200",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361363",
            "telephone_number": "320-864-3185",
            "fax_number": "320-864-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 FORD AVE N",
            "address_2": "STE 200, MCLEOD COUNTY PUBLIC HEALTH",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361363",
            "telephone_number": "320-864-3185",
            "fax_number": "320-864-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "JENNIFER",
        "credential": "IBCLC, RLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MN",
            "license": "108-27103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.