Individual provider Active NPI

Joy Jenee Hershberger, CLC

  • Lactation Consultant (Non-RN)
  • Saint Charles, MO
National Provider Identifier
1811468523
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
ALPP-307064 Issued in MO
Practice address
1480 Woodstone Dr Ste 112
Saint Charles, MO 63304-6872
Phone
(636) 699-2839
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X ALPP-307064 MO Primary

Addresses

Primary practice location

1480 Woodstone Dr Ste 112
Saint Charles, MO 63304-6872

Mailing address

1480 Woodstone Dr Ste 112
Saint Charles, MO 63304-6872
Phone (636) 699-2839

Other identifiers 1

IdentifierTypeStateIssuer
ALPP-307064OtherTHE ACADEMY OF LACTATION POLICY AND PRACTICE

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

LicenseStateTypeSpecialty
ALPP-307064MOMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Perinatal Wellness Institute, LLC PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1811468523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 WOODSTONE DR STE 112",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633046872",
            "telephone_number": "636-699-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 WOODSTONE DR STE 112",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633046872",
            "telephone_number": "636-699-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "JOY",
        "middle_name": "JENEE",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MO",
            "license": "ALPP-307064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE ACADEMY OF LACTATION POLICY AND PRACTICE",
            "identifier": "ALPP-307064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.