Individual provider Active NPI

Debra Kay Hernlund, IBCLC

  • Lactation Consultant (Non-RN)
  • Henderson, NV
National Provider Identifier
1649059635
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-17222
Practice address
29 Montelago Blvd Unit 431
Henderson, NV 89011-3243
Phone
(216) 571-9997
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X L-17222 Primary

Addresses

Primary practice location

29 Montelago Blvd Unit 431
Henderson, NV 89011-3243

Mailing address

29 Montelago Blvd Unit 431
Henderson, NV 89011-3243
Phone (216) 571-9997

Other practice location 1

27667 Roanoke Way
Westlake, OH 44145-2108
Phone (216) 571-9997

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

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1649059635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MONTELAGO BLVD UNIT 431",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113243",
            "telephone_number": "216-571-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MONTELAGO BLVD UNIT 431",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113243",
            "telephone_number": "216-571-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27667 Roanoke Way",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441452108",
            "country_code": "US",
            "telephone_number": "216-571-9997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNLUND",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-17222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.