Jessica Wimer, RN, BSN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN634993 Issued in PA

Practice address

35 Liberty LN
Kirkwood, PA 17536-9774

Phone

(717) 344-6496

NPI assigned

Jul 18, 2017

Last updated

Jul 18, 2017By the provider in NPPES

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Born and Fed LLC

  • Lactation Consultant (Registered Nurse)
  • Kirkwood, PA
  • NPI 1548167885
  NPD (past) Authorized official

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1679096051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LIBERTY LN",
            "city": "KIRKWOOD",
            "state": "PA",
            "postal_code": "175369774",
            "telephone_number": "717-344-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LIBERTY LN",
            "city": "KIRKWOOD",
            "state": "PA",
            "postal_code": "175369774",
            "telephone_number": "717-344-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMER",
        "first_name": "JESSICA",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "PA",
            "license": "RN634993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H Kates, MSN, RN. CNOR, RNFA
• Laural Ling Lancaster, RBT
• Rodney Grant Prewitt
• Sacred Journey Birthing Services LLC
• Shakia Taltoan

• Lactation Consultant (Registered Nurse) in Kirkwood, PA
• Providers in Kirkwood, PA by specialty
• Lactation Consultant (Registered Nurse) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.