Individual provider Active NPI

Stephanie Kaufman, RN, BSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Moundridge, KS
National Provider Identifier
1760216337
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-111775 Issued in KS
Practice address
100 S Christian Ave Ste 2
Moundridge, KS 67107-9004
Phone
(620) 386-0203
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-111775 KS Primary

Addresses

Primary practice location

100 S Christian Ave Ste 2
Moundridge, KS 67107-9004

Mailing address

802 Koehn Ave
Moundridge, KS 67107-8506
Phone (620) 386-0203

Other practice location 1

100 S Christian Ave Ste 2
Moundridge, KS 67107-9004
Phone (620) 386-0203

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-111775KSMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1760216337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KOEHN AVE",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671078506",
            "telephone_number": "620-386-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S CHRISTIAN AVE STE 2",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671079004",
            "telephone_number": "620-386-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Christian Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Moundridge",
            "state": "KS",
            "postal_code": "671079004",
            "country_code": "US",
            "telephone_number": "620-386-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "STEPHANIE",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "KS",
            "license": "L-111775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundridge, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.