Active NPI
Jennifer C McIntosh, IBCLC
- Lactation Consultant (Non-RN)
- Hayden, ID
National Provider Identifier
1801253653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-62016
- Practice address
- 16515 N Rimrock Rd
Hayden, ID 83835-7854 - Phone
- (208) 277-7701
- NPI assigned
- Jan 25, 2016
- Last updated
- Jan 25, 2016
- 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-62016 | ID | Primary |
Addresses
Primary practice location
16515 N Rimrock Rd
Hayden, ID 83835-7854
Mailing address
16515 N Rimrock Rd
Hayden, ID 83835-7854
Phone (208) 277-7701
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-62016 | ID | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1801253653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16515 N RIMROCK RD",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838357854",
"telephone_number": "208-277-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16515 N RIMROCK RD",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838357854",
"telephone_number": "208-277-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "ID",
"license": "L-62016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
- Cheri McCormack Fresh, LCPC
- Lauren Kristina McCrea, MS
- Dorothy Teresa McCree, NP
- Marsha McCurdy, LCPC-8208
- Anthony M McFadden
- McKim Method Wellness PLLC
- Michael James McKim, DC
- Megan Leigh McMaster-Stine, CCC-SLP
- Medicine Man North Pharmacy Inc (Medicine Man Prairie Pharmacy)
- Medicine Man North Pharmacy Inc (Medicine Man Hayden Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.