Individual provider Active NPI

Jane Ann Fogdall, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Seattle, WA
National Provider Identifier
1679368815
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-15451 Issued in WA
Practice address
4727 44TH Ave SW Ste 101
Seattle, WA 98116-4467
Phone
(206) 763-2733
Fax
(206) 763-2122
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00129803 WA
Lactation Consultant (Registered Nurse) 163WL0100X L-15451 WA Primary

Addresses

Primary practice location

4727 44TH Ave SW Ste 101
Seattle, WA 98116-4467

Mailing address

3722 SW Trenton St
Seattle, WA 98126-3643
Phone (206) 777-5532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00129803WAMDRegistered Nurse
L-15451WAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Expressions, LLC Lactation Consultant PastSince Apr 13, 2025 Accepting new patients
Nurturing Expressions LLC Lactation Consultant PastSince Apr 13, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1679368815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 SW TRENTON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263643",
            "telephone_number": "206-777-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 44TH AVE SW STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164467",
            "telephone_number": "206-763-2733",
            "fax_number": "206-763-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGDALL",
        "first_name": "JANE",
        "middle_name": "ANN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00129803",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WA",
            "license": "L-15451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.