Bernadette Fish, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

3241653102 Issued in UT

Practice address

331 N 400 W
Orem, UT 84057-1913

Phone

(801) 830-0109

NPI assigned

Nov 23, 2016

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

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1972046928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846530254",
            "telephone_number": "801-830-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N 400 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571913",
            "telephone_number": "801-830-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "BERNADETTE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "UT",
            "license": "3241653102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Choice Palliative Care Specialists LLC
• Jordan Firtik
• Scott Fischbuch
• Danielle Fischer, MS, LMFT
• Amber Fish
• Amber M Fisher
• Aspen Fu-Wei Fisher
• Emma Fisher
• Evie Fisher
• Katie Fishman

• Lactation Consultant (Registered Nurse) in Orem, UT
• Providers in Orem, UT by specialty
• Lactation Consultant (Registered Nurse) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.