Sandra Jo Kruse-Anderson, BSN, CLC, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

072442 Issued in IA

Practice address

225 S. Bluff St.
Winnebago, NE 68071

Phone

(402) 878-2258

Fax

(402) 878-2766

NPI assigned

Jun 24, 2019

Last updated

Nov 27, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1659932424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680710745",
            "telephone_number": "402-878-2258",
            "fax_number": "402-878-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S. BLUFF ST.",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "68071",
            "telephone_number": "402-878-2258",
            "fax_number": "402-878-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE-ANDERSON",
        "first_name": "SANDRA",
        "middle_name": "JO",
        "credential": "BSN, CLC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IA",
            "license": "072442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://securedata.ihs.gov/bds/Login.do",
            "affiliation": "Y",
            "affiliationName": "Indian Health Services",
            "address_1": "225 South Bluff Street",
            "city": "Winnebago",
            "state": "NE",
            "country_code": "US",
            "postal_code": "68071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lacey Hinrichsen, RN
• Marcia Lee Hovland, LMHP, LPC, LMFT
• Jacob Jensen
• Kerri Sue Jepsen, RN
• Jillian Angeline Kelsey-Berridge, BS, PLADC
• Maggie Marie Libra, PLADC
• Jamison K Linscott, DDS
• William Francis Mallory, LADC
• Paula Maslonka, RD LMNT
• Matthew M McClung, PHARMD

• Lactation Consultant (Registered Nurse) in Winnebago, NE
• Providers in Winnebago, NE by specialty
• Lactation Consultant (Registered Nurse) in Nebraska

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