Sauk Valley Breastfeeding

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

SAUK VALLEY BREASTFEEDING

Practice address

775 Green Wing Rd
Amboy, IL 61310-9427

Phone

(608) 514-2828

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Dawn Huene, BSN, RN, IBCLCNPI 1720735137

Title

Owner

Phone

(608) 514-2828

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Dawn Huene, BSN, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Amboy, IL
  • NPI 1720735137

  Lactation Consultant

  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1649928508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 GREEN WING RD",
            "city": "AMBOY",
            "state": "IL",
            "postal_code": "613109427",
            "telephone_number": "608-514-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 GREEN WING RD",
            "city": "AMBOY",
            "state": "IL",
            "postal_code": "613109427",
            "telephone_number": "608-514-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUK VALLEY BREASTFEEDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "HUENE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-514-2828",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Merlak
• Hope Mueller, MHP
• Lee Virginia Murrin, FNP-BC
• Laurine L Pitzer Hanson, DC
• Delaney Rose Powers, SLP
• Simple RX Solutions Inc
• Sinnissippi Centers, Inc.
• Sinnissippi Centers, Inc.

• All providers in Amboy, IL
• Lactation Consultant (Registered Nurse) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.