Lori Jean Theisen, I.B.C.L.C, RN

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

142177 Issued in IA

Practice address

3268 Hillcrest Rd
Apartment 5
Dubuque, IA 52001-3939

Phone

(563) 213-3731

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2016By 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.

• 1 Natural Way LLC

  • Lactation Consultant (Non-RN)
  • Maumee, OH
  • NPI 1285528372
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1992167415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 HILLCREST RD",
            "address_2": "APARTMENT 5",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013939",
            "telephone_number": "563-213-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 HILLCREST RD",
            "address_2": "APARTMENT 5",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013939",
            "telephone_number": "563-213-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISEN",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "credential": "I.B.C.L.C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IA",
            "license": "142177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Finley Hospital (Unitypoint Health - Finley Hospital)
• The Finley Hospital (Unitypoint Health - Finley Hosptial)
• The Finley Hospital (Unitypoint Health - Finley Hospital)
• The Rose of Dubuque, L.P.
• Kiresten Theill, SOCIAL WORKER
• Scott Theisen, M.A., L.M.H.C.
• Sarah D Thibadeau, APNP
• Alecia K. Thiele, P.T.
• Shawn Robert Thiele, P.T.
• Joel Gregory Thielen

• Lactation Consultant (Registered Nurse) in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Lactation Consultant (Registered Nurse) in Iowa

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