Individual provider Active NPI

Emily Grace Whebbe, IBCLC

  • Lactation Consultant (Non-RN)
  • Minneapolis, MN
National Provider Identifier
1841695020
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-56499 Issued in MN
Practice address
1408 W 28TH St
Apt 3
Minneapolis, MN 55408-1935
Phone
(612) 860-4060
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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 L-56499 MN Primary

Addresses

Primary practice location

1408 W 28TH St
Apt 3
Minneapolis, MN 55408-1935

Mailing address

1408 W 28TH St
Apt 3
Minneapolis, MN 55408-1935
Phone (612) 860-4060

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
L-56499MNMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1841695020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W 28TH ST",
            "address_2": "APT 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081935",
            "telephone_number": "612-860-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W 28TH ST",
            "address_2": "APT 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081935",
            "telephone_number": "612-860-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEBBE",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MN",
            "license": "L-56499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.