Ict Lactation

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

ICT LACTATION

Practice address

123 N Tyler Rd Ste 100
Wichita, KS 67212-3726

Phone

(316) 202-8264

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisabeth Goebel, RN, IBCLCNPI 1306403209

Title

Owner

Phone

(316) 680-8917

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elisabeth A Goebel, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Wichita, KS
  • NPI 1306403209

  Single Specialty

  NPD Authorized official
• Kaylee Goddard, IBCLC

  • Lactation Consultant (Non-RN)
  • Wichita, KS
  • NPI 1760250328

  Lactation Consultant, Non-RN

  NPD
• Amy Katherine O'Crowley

  • Lactation Consultant (Non-RN)
  • Wichita, KS
  • NPI 1407622368

  Lactation Consultant, Non-RN

  NPD

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1851169973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11804 W SHERIAC ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672094086",
            "telephone_number": "316-680-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123726",
            "telephone_number": "316-202-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICT LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-680-8917",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306403209",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in Wichita, KS
• Providers in Wichita, KS by specialty
• Lactation Consultant (Non-RN) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.