Jamie Lynn Peden

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

39384 Issued in WV

Practice address

3031 Crestwood Rd
Charleston, WV 25302-1651

Phone

(304) 389-1194

NPI assigned

Jun 24, 2020

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

Practice roles

Locations

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

• Jamie Lynn Peden, LLC

  • Lactation Consultant (Registered Nurse)
  • Charleston, WV
  • NPI 1790384477
  NPD Authorized official
• Lactation Consultants of America

  • Lactation Consultant (Non-RN)
  • Big Bear City, CA
  • NPI 1740929694
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1679199780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 CRESTWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021651",
            "telephone_number": "304-389-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 CRESTWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021651",
            "telephone_number": "304-389-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDEN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WV",
            "license": "39384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kjuan Pearson
• Stephanie Peaslee
• Alexa A Peck, LMT
• Benjamin Peck, PHARM.D.
• Jacob Wayne Peckens
• Pediatrix Medical Group PC
• Sarah E Peek, DPT
• Peer Recovery and Therapy Services, LLC
• Peggy Kiser Crouch DC PLLC
• Bonnie Lou Pelfrey

• Lactation Consultant (Registered Nurse) in Charleston, WV
• Providers in Charleston, WV by specialty
• Lactation Consultant (Registered Nurse) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.