Kathrina Teodoro Chow, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

290140 Issued in AZ

Practice address

13802 N Scottsdale Rd Ste 163
Scottsdale, AZ 85254-3437

Phone

(480) 999-1585

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By 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

Credentials

Registered Nurse

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.

• Modern Milk

  • Women's Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1164988515
  NPD (past)

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1902623309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 E PRESIDIO RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543526",
            "telephone_number": "206-788-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 N SCOTTSDALE RD STE 163",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543437",
            "telephone_number": "480-999-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "KATHRINA",
        "middle_name": "TEODORO",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "290140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choulet Performance Scottsdale LLC (Choulet Performance Psychiatry)
• Brook Choulet, MD
• Samuel Choulet, M.D.
• Anuja Gautam Choure, M.D
• Susan Chournos
• Nathan Andrew Chow, MD
• Chris Lewandowski, DDS, PC
• Chris Zagami DDS LLC
• George T Christakos, DDS
• Victoria L Christensen, PT, DPT, CSCS

• Lactation Consultant (Registered Nurse) in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Lactation Consultant (Registered Nurse) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.