JESSICA RAE TANGEN


Address: 449 Overlook Pass, Hudson, WI 54016-7547
Phone: 3202210443

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174N00000X Lactation Consultant, Non-RN L-49688 Other Service Providers

Office Location

Street Address 449 OVERLOOK PASS
City HUDSON
State WI
Zip Code 54016-7547

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1164921128 Sara Lynn Henry Occupational Therapy Assistant 1320 Wisconsin St., Husdon, WI 54016 2018-02-06
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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
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Taxonomy Information

Taxonomy Code 174N00000X
Grouping Other Service Providers
Classification Lactation Consultant, Non-RN

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City HUDSON
Zip Code 54016

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Dataset Information

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.

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