Rebecca Vangelderen, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

1164416 Issued in KY

Practice address

2065 Walkers Chapel Rd
Adolphus, KY 42120-6153

Phone

(270) 618-0590

NPI assigned

Sep 16, 2019

Last updated

Sep 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1710537477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 WALKERS CHAPEL RD",
            "city": "ADOLPHUS",
            "state": "KY",
            "postal_code": "421206153",
            "telephone_number": "270-618-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 WALKERS CHAPEL RD",
            "city": "ADOLPHUS",
            "state": "KY",
            "postal_code": "421206153",
            "telephone_number": "270-618-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGELDEREN",
        "first_name": "REBECCA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "KY",
            "license": "1164416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Jo Hale, BS, CRT
• Morgan Thomas Howard, PHARMD
• Tara Nichole Smith, RN

• Lactation Consultant (Registered Nurse) in Adolphus, KY
• Providers in Adolphus, KY by specialty
• Lactation Consultant (Registered Nurse) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.