JESSICA RAE TANGEN (NPI# 1649710732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649710732 |
Entity Type | Individual |
Full Name | JESSICA RAE TANGEN |
Credential | IBCLC |
Practice Address |
449 Overlook Pass Hudson WI 54016-7547 |
Practice Telephone | 3202210443 |
Mailing Telephone | 3202210443 |
Enumeration Date | 2017-03-08 |
Last Update Date | 2017-03-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | L-49688 | Other Service Providers |
Street Address |
449 OVERLOOK PASS |
City | HUDSON |
State | WI |
Zip Code | 54016-7547 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
Find all providers in zip 54016 |
Taxonomy Code | 174N00000X |
Grouping | Other Service Providers |
Classification | Lactation Consultant, Non-RN |
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821642174 | Jennifer Hafele | Lactation Consultant, Non-RN | 3402 David Dr, Eau Claire, WI 54701-3030 | 2019-07-25 |
1447811138 | Amanda C Kosanda | Lactation Consultant, Non-RN | W9519 Blue Jay Way, Cambridge, WI 53523-9750 | 2019-06-24 |
1043732688 | Christi Bednarek | Lactation Consultant, Non-RN | 3301 Kensington Ct, Elmwood Park, WI 53405-4533 | 2017-07-14 |
1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
1376957126 | Molly Lynn Breuer | Lactation Consultant, Non-RN | 9175 Pride Rd, Glen Haven, WI 53810-9718 | 2014-06-19 |
1326463225 | Natalie Gasser | Lactation Consultant, Non-RN | 765 N 116th St, Wauwatosa, WI 53226-3612 | 2014-02-28 |
1295073658 | Julia Ahmadinia Amos | Lactation Consultant, Non-RN | 5503 W Martin Dr Apt 6, Milwaukee, WI 53208-2530 | 2013-01-19 |
1104193846 | Beth Marie Eddy | Lactation Consultant, Non-RN | 5740 S 114th St, Hales Corners, WI 53130-1810 | 2011-11-23 |
1790065944 | Michelle Cummings | Lactation Consultant, Non-RN | 3445 W Alvina Ave, Greenfield, WI 53221-4707 | 2011-08-19 |
1497079602 | Baldwin Lactation Consultant Services, LLC | Lactation Consultant, Non-RN | 3338 Oakwood Dr, Racine, WI 53406-5464 | 2010-03-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.