Colleen Mathia Gould, IBCLC
Individual provider Active NPI Lactation Consultant (Non-RN) · Westwood, KS
NPI 1881179810 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1881179810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L-17081 (KS)
- Practice address
- 2700 W 47TH Ter
Westwood, KS 66205-1605 - Phone
- (816) 213-1417
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-17081 | KS | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-17081 | KS | Yes |
Addresses
Primary practice location
2700 W 47TH Ter
Westwood, KS 66205-1605
Mailing address
2700 W 47TH Ter
Westwood, KS 66205-1605
Other providers in Westwood, KS
- Margaret Anne Foss
- Jason B. Gatewood
- Nirmala Ghimirey
- Jesus David Gonzalez Lugo
- Lindsie Earline Gordon
- Frederick C. Grubiss
- Cory Gutovitz
- Nanuli Gvazava
- Alma Habib
- Deborah M. Hall
All providers in Westwood, KS · Lactation Consultant (Non-RN) in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.