Alicia S Fonder, RN, IBCLC, LCCE

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

R029824 Issued in SD

Practice address

1707 S 1St Ave
Sioux Falls, SD 57105-1905

Phone

(605) 553-8364

NPI assigned

Jul 28, 2012

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1649526542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 S 1ST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051905",
            "telephone_number": "605-553-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 S 1ST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051905",
            "telephone_number": "605-553-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDER",
        "first_name": "ALICIA",
        "middle_name": "S",
        "credential": "RN, IBCLC, LCCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-28",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "SD",
            "license": "R029824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Thomas Foley, MD
• Ryan Folk
• Valerie Ann Folkens, CNP
• Misty Marie Folkestad, M.D.
• Ayana Foluke McKanney, LCSW
• Foot Surgical Center, P.C.
• For Life Therapy Sioux Falls Inc
• Lisa Marie Forbeck, MD
• Ashley Ford
• Garet Ford, PA-C

• Lactation Consultant (Registered Nurse) in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Lactation Consultant (Registered Nurse) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; 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.