Active NPI
Amber M Shultes, IBCLC
- Lactation Consultant (Non-RN)
- Middleburgh, NY
National Provider Identifier
1740764224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-126827
- Practice address
- 183 Gridley Rd
Middleburgh, NY 12122-6201 - Phone
- (518) 231-3549
- NPI assigned
- Sep 20, 2018
- Last updated
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-126827 | NY | Primary |
Addresses
Primary practice location
183 Gridley Rd
Middleburgh, NY 12122-6201
Mailing address
183 Gridley Rd
Middleburgh, NY 12122-6201
Phone (518) 231-3549
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-126827 | NY | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1740764224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 GRIDLEY RD",
"city": "MIDDLEBURGH",
"state": "NY",
"postal_code": "121226201",
"telephone_number": "518-231-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 GRIDLEY RD",
"city": "MIDDLEBURGH",
"state": "NY",
"postal_code": "121226201",
"telephone_number": "518-231-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTES",
"first_name": "AMBER",
"middle_name": "M",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NY",
"license": "L-126827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburgh, NY
- Daniel Grant Pecan, PMHNP
- Rebecca L. Quinn, OTR/L
- Shari Ann Sauter, CCC-L/SLP
- Schoharie Valley Pharmacy Inc (valley pharmacy)
- Shawn C Smith & Kimberly S Smith Partners (Middleburgh Chiropractic)
- Kimberly Sue Smith, D.C.
- Shawn Culbert Smith, D.C.
- Vanessa L Trafton, FNP
- Scott W Vankuren, RPH
- Taylor M West
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.