Individual provider Active NPI

Jennifer Territo, LPN, IBCLC

  • Lactation Consultant (Non-RN)
  • Huntley, IL
National Provider Identifier
1679946503
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-44880 Issued in IL
Practice address
10496 Longfield Dr
Huntley, IL 60142-2363
Phone
(224) 232-9171
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-44880 IL Primary

Addresses

Primary practice location

10496 Longfield Dr
Huntley, IL 60142-2363

Mailing address

10496 Longfield Dr
Huntley, IL 60142-2363
Phone (224) 232-9171

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

State licenses

LicenseStateTypeSpecialty
L-44880ILMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1679946503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10496 LONGFIELD DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422363",
            "telephone_number": "224-232-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10496 LONGFIELD DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422363",
            "telephone_number": "224-232-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRITO",
        "first_name": "JENNIFER",
        "credential": "LPN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "L-44880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.