Active NPI
Jennifer Hauser, IBCLC, RLC
- Lactation Consultant (Registered Nurse)
- Glencoe, MN
National Provider Identifier
1639314883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 108-27103
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 108-27103 | MN | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Public Health or Welfare Agency
- Glencoe, MN
- NPI 1578550190
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.