Individual provider Active NPI

Karley Marie Tesmer, IBCLC, CNA

  • Lactation Consultant (Registered Nurse)
  • Issaquah, WA
National Provider Identifier
1902633357
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-312530 Issued in NC
Practice address
317 NW Gilman Blvd
Unit 44
Issaquah, WA 98027-2485
Phone
(425) 523-1212
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-312530 NC Primary

Addresses

Primary practice location

317 NW Gilman Blvd
Unit 44
Issaquah, WA 98027-2485

Mailing address

14801 Dougherty PL NE
Duvall, WA 98019-8349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L-312530NCMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1902633357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14801 DOUGHERTY PL NE",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NW GILMAN BLVD",
            "address_2": "UNIT 44",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272485",
            "telephone_number": "425-523-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESMER",
        "first_name": "KARLEY",
        "middle_name": "MARIE",
        "credential": "IBCLC, CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "L-312530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

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