Amy Jo Sickels, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-313206 Issued in IN

Practice address

9835 Auburn Rd
Fort Wayne, IN 46825-2347

Phone

(260) 222-7406

NPI assigned

Sep 23, 2024

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

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.

• Fort Wayne Doulas, LLC

  dba Fort Wayne Lactation

  • Lactation Consultant (Non-RN)
  • Fort Wayne, IN
  • NPI 1043196876

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1992522858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 HOAGLAND AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071921",
            "telephone_number": "260-437-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 AUBURN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252347",
            "telephone_number": "260-222-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2512 E DuPont Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251609",
            "country_code": "US",
            "telephone_number": "260-222-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICKELS",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IN",
            "license": "L-313206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Shutt
• Erin Shutt
• Erin Kelsey Shutt, FNP
• Richard William Sibley, MD
• Heather Marie Sickafoose, P.A.-C
• Linda Sue Sickman, PH.D., CCC-SLP
• Zain Inam Siddiqui
• Joshua Sidener, ATC
• Preetinder Sidhu, DMD
• Hristina Siebenaler, NP

• Lactation Consultant (Non-RN) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Lactation Consultant (Non-RN) in Indiana

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