Individual provider Active NPI

Michelle Nordblom Hottya, IBCLC, RLC

  • Lactation Consultant (Non-RN)
  • Tempe, AZ
National Provider Identifier
1992021000
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-46575
Practice address
1753 E Broadway Rd # 411
Tempe, AZ 85282-2081
Phone
(480) 420-8567
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Lactation Consultant (Non-RN) 174N00000X L-46575 Primary

Addresses

Primary practice location

1753 E Broadway Rd # 411
Tempe, AZ 85282-2081

Mailing address

1753 E Broadway Rd # 411
Tempe, AZ 85282-2081
Phone (480) 420-8567

Other practice location 1

4954 E Hilton Ave
Mesa, AZ 85206-3430
Phone (480) 420-8567

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hottya Consulting, LLC Lactation Consultant, Non-RN CurrentSince Mar 24, 2024 Accepting new patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC Past Accepting new patients

Locations

1753 E Broadway Rd
#411
Tempe, AZ 85282
Phone (480) 420-8567

Interoperability endpoints

  • Direct secure messaging: michelle.hottya@agave.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1992021000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 E BROADWAY RD # 411",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822081",
            "telephone_number": "480-420-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 E BROADWAY RD # 411",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822081",
            "telephone_number": "480-420-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4954 E Hilton Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063430",
            "country_code": "US",
            "telephone_number": "480-420-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTTYA",
        "first_name": "MICHELLE",
        "middle_name": "NORDBLOM",
        "name_prefix": "Ms.",
        "credential": "IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-46575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

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