Kim Newdelman, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-153087 Issued in OR

Practice address

720 SW Maplecrest Dr
Portland, OR 97219-6422

Phone

(503) 957-9276

NPI assigned

Mar 18, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1659957801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SW MAPLECREST DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196422",
            "telephone_number": "503-957-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SW MAPLECREST DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196422",
            "telephone_number": "503-957-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWDELMAN",
        "first_name": "KIM",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "L-153087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia New, RN
• Eric Daniel Newberg, LAC,LMT
• Matthew McNeill Newberry
• Brittany J Newcomb, LMT
• Ethan J Newcomb, PSS
• Elizabeth Ann Newell
• Erin Janae Newell
• Jamie Newell, MSW, LCSW
• Kimia Ighani Newell, PAC
• Laura Newell, M.D.

• Lactation Consultant (Registered Nurse) in Portland, OR
• Providers in Portland, OR by specialty
• Lactation Consultant (Registered Nurse) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.