Kathryn Joanna Lundstrum, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

335914 Issued in AR

Practice address

2211 Main Dr
Fayetteville, AR 72704-5292

Phone

(479) 485-1215

NPI assigned

Dec 29, 2022

Last updated

Dec 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Lundstrum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Atkins Property Management

  dba Arkansas Lactation

  • Lactation Consultant (Non-RN)
  • Fayetteville, AR
  • NPI 1528675238

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1790498277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BLACKJACK RD",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589706",
            "telephone_number": "501-652-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045292",
            "telephone_number": "479-485-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDSTRUM",
        "first_name": "KATHRYN",
        "middle_name": "JOANNA",
        "credential": "CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AR",
            "license": "335914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LUNDSTRUM",
            "credential": "CLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Callie Ludlow
• Morgan Ludwick, RN
• Ariana Cecilia Mendiondo Luedloff, MD
• Stefan Kurt Luker, RPH
• Katelin Lundquist, MS, CCC-SLP
• Melinda E Lunn, OTRL
• Ashley Nicole Lunsford
• Cathy C Luo, M.D
• Brandon Huy Luong, RPH
• Douglas J Lurten, MHPP

• Lactation Consultant (Non-RN) in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Lactation Consultant (Non-RN) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.