Organization Active NPI

Hoosier Lactation Lady LLC

  • Lactation Consultant (Registered Nurse)
  • Greenwood, IN
National Provider Identifier
1902583610
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
HOOSIER LACTATION LADY LLC
Practice address
903 Bentgrass Dr
Greenwood, IN 46143-6630
Phone
(505) 504-2201
NPI assigned
Jul 4, 2023
Last updated
Jul 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Authorized official

Name
Mrs. Elizabeth Boehm, RN, IBCLCNPI 1467241729
Title
Founder
Phone
(505) 504-2201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X NU Primary

Addresses

Primary practice location

903 Bentgrass Dr
Greenwood, IN 46143-6630

Mailing address

903 Bentgrass Dr
Greenwood, IN 46143-6630
Phone (505) 504-2201

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1902583610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BENTGRASS DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436630",
            "telephone_number": "505-504-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BENTGRASS DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436630",
            "telephone_number": "505-504-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER LACTATION LADY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "505-504-2201",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.