Crystal Dawn Huene, BSN, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

041327739 Issued in IL

Practice address

775 Green Wing Rd
Amboy, IL 61310-9427

Phone

(608) 514-2828

NPI assigned

Mar 5, 2022

Last updated

Mar 5, 2022By 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.

• Sauk Valley Breastfeeding

  • Lactation Consultant (Registered Nurse)
  • Amboy, IL
  • NPI 1649928508
  NPD Authorized official

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1720735137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 GREEN WING RD",
            "city": "AMBOY",
            "state": "IL",
            "postal_code": "613109427",
            "telephone_number": "608-514-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 GREEN WING RD",
            "city": "AMBOY",
            "state": "IL",
            "postal_code": "613109427",
            "telephone_number": "608-514-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUENE",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041327739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt R Crowe, M.D.
• Firas Rabih Darwiche, M.D.
• Jenna Didier, M.S. CCC, SLP
• Green Acres Healthcare and Rehab Center
• Joel P Hochstatter, DR
• Joel P. Hochstater DMD Brandon R. Klein DDS LLC (Amboy Dental Group)
• Jill Lynne Johnson, LMT
• Kreider Services Inc
• Kreider Services Inc
• Kreider Services Incorporated

• Lactation Consultant (Registered Nurse) in Amboy, IL
• Providers in Amboy, IL by specialty
• Lactation Consultant (Registered Nurse) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.