Active NPI
Paula R Hart, RN,IBCLC
- Lactation Consultant (Registered Nurse)
- Winnebago, IL
National Provider Identifier
1821569120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 041164129
- Practice address
- 503 N. Elida St.
Winnebago, IL 61088 - Phone
- (815) 218-1623
- NPI assigned
- Dec 12, 2018
- 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 (Registered Nurse) | 163WL0100X | 041164129 | IL | Primary |
Addresses
Primary practice location
503 N. Elida St.
Winnebago, IL 61088
Mailing address
2900 Clark Dr.
Belvidere, IL 61008
Phone (815) 218-1623
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 |
|---|---|---|---|
| 041164129 | IL | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1821569120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CLARK DR.",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "61008",
"telephone_number": "815-218-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N. ELIDA ST.",
"city": "WINNEBAGO",
"state": "IL",
"postal_code": "61088",
"telephone_number": "815-218-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "PAULA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "RN,IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-12",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "IL",
"license": "041164129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnebago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.