Jennifer Deshaies, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-60471 Issued in NY

Practice address

8235 Sixty Rd
Baldwinsville, NY 13027-1215

Phone

(315) 263-7558

NPI assigned

Nov 17, 2015

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1639543432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 SIXTY RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271215",
            "telephone_number": "315-263-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SIXTY RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271215",
            "telephone_number": "315-263-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAIES",
        "first_name": "JENNIFER",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "L-60471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tera Charlene Delong, LPN
• Rachael Leigh Demarco, MS, CCC-SLP
• Stephen A Demick, PHARMD.
• Jacqueline Cristine Depaulis Fiumano, N.P.
• Jaclyn Rita Derito, LMSW
• Kathy Ann Devine
• Jeremy Christian Dickinson, PA
• Nikeysha Marie Dickinson, L.P.N.
• Stephanie A Dillard, LCSW
• Deven Michelle Dinet, LPN

• Lactation Consultant (Non-RN) in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.