Active NPI
Jadriene Balduf, RN, IBCLC, CCE
- Lactation Consultant (Registered Nurse)
- Batavia, NY
National Provider Identifier
1780172718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 152420
- Practice address
- 164 Washington Ave
Batavia, NY 14020-2113 - Phone
- (585) 344-5331
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 639469 | NY | |
| Perinatal Registered Nurse | 163WP1700X | 639469 | NY | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 152420 | NY | Primary |
Addresses
Primary practice location
164 Washington Ave
Batavia, NY 14020-2113
Mailing address
164 Washington Ave
Batavia, NY 14020-2113
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639469 | NY | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1780172718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 WASHINGTON AVE",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140202113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 WASHINGTON AVE",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140202113",
"telephone_number": "585-344-5331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDUF",
"first_name": "JADRIENE",
"credential": "RN, IBCLC, CCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "639469",
"primary": false
},
{
"code": "163WP1700X",
"taxonomy_group": "",
"desc": "Registered Nurse, Perinatal",
"state": "NY",
"license": "639469",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "152420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.