Justina Jo Engen, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

29601 Butterfield Way
Tehachapi, CA 93561-7425

Phone

(661) 238-3066

Fax

(661) 821-0409

NPI assigned

Nov 21, 2012

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

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1750625299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29601 BUTTERFIELD WAY",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935617425",
            "telephone_number": "661-238-3066",
            "fax_number": "661-821-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29601 BUTTERFIELD WAY",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935617425",
            "telephone_number": "661-238-3066",
            "fax_number": "661-821-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEN",
        "first_name": "JUSTINA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Edman, L.AC
• Megan Eisenzimmer, REGISTERED DIETITIAN
• Amanda Ellis, DPT
• Randi Elmore
• Hannah Emerson
• Jasmine Nicole Enriquez
• Meghan Escoto, NP
• John Edward Fagan Jr., O.D.
• Brittnany Fentress
• Claire Nicole Ferguson

• Lactation Consultant (Non-RN) in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.