Jennifer Sue Beck, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-98594 Issued in IL

Practice address

506 N Elida
Winnebago, IL 61088

Phone

(815) 222-4596

NPI assigned

Dec 22, 2018

Last updated

Dec 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Moms Lactation Resource Center

  • Clinic/Center
  • Winnebago, IL
  • NPI 1255803466
  NPD (past) Authorized official

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545436800000",
    "number": "1871065250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 WESTRIDGE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61102",
            "telephone_number": "815-222-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N ELIDA",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "61088",
            "telephone_number": "815-222-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-22",
        "last_updated": "2018-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "L-98594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Speech and Swallow PLLC
• Kate E Aschim
• Athletico LTD (Athletico Physical Therapy)
• Timothy A Aulner, PHARMD
• Adam Benovic, LCSW
• Jolissa M Corbett, DPT
• Jennifer L. Dinges, NP
• Felker Pharmacy Inc (Winnebago Snyder Pharmacy)
• Freedlund Family Chiropratic LTD

• Lactation Consultant (Non-RN) in Winnebago, IL
• Providers in Winnebago, IL by specialty
• Lactation Consultant (Non-RN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.