KRISTIN GOURLEY


Address: 12672 N Angels Gate, Highland, UT 84003-3849
Phone: 8016473669

KRISTIN GOURLEY (NPI# 1942789219) 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) 1942789219
Entity Type Individual
Full Name KRISTIN GOURLEY
Credential IBCLC
Practice Address 12672 N Angels Gate
Highland
UT 84003-3849
Practice Telephone 8016473669
Mailing Telephone 8016473669
Enumeration Date 2018-08-08
Last Update Date 2018-08-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 12672 N ANGELS GATE
City HIGHLAND
State UT
Zip Code 84003-3849

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1851917496 Centre Health Group Clinic/Center 70 West Main, Suite B, American Fork, UT 84003 2020-06-19
1457902553 Lactation Link Health Educator 5524 Sicily Lane, Highland, UT 84003 2019-09-20
1750805511 Eric Austin Haws Physical Therapist 1184 East 80 North, American Fork, UT 84003 2017-08-02
1578914784 Ofa Moeai Social Worker 315 N 900 E, American Fork, UT 84003 2016-06-29
1639585839 Carmel Ferreira Acupuncturist 42 N 200 E Ste 1, American Fork, UT 84003 2014-07-08
1619305869 Luke Daren Sterger Counselor 995 West 1100 North, American Fork, UT 84003 2013-10-25
1356778252 Reese & Weaver Dds LLC Optometrist 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 2013-10-09
1518308444 A Balanced Life Med Products Durable Medical Equipment & Medical Supplies 291 N 300 E Ste. C, American Fork, UT 84003 2013-07-08
1376981274 Jesse Lucinda James Family Medicine 98 B. 1100 E. Suite #102, American Fork, UT 84003 2013-06-13
1922442904 Premier Family Medical Family Medicine 226 N 100 E, Ste A, American Fork, UT 84003 2013-04-22
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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
1801457841 Betsy J Church Lactation Consultant, Non-RN 1003 N 1000 W, Clinton, UT 84015-8819 2019-06-20
1245710441 Stephanie Weight Hadfield Lactation Consultant, Non-RN 2690 N 700 E, Provo, UT 84604-4074 2018-08-16
1104374909 Sally Hart Nelson Lactation Consultant, Non-RN 150 S 600 E Ste 2c, Salt Lake City, UT 84102-2098 2016-09-21
1003217704 Meghan Johnston Lactation Consultant, Non-RN 9126 S Bentham Ave, Sandy, UT 84093-2542 2014-09-12
1902218290 Susan Johnson Lactation Consultant, Non-RN 2180 S 1300 E Ste 600, Parkview Plaza One, Salt Lake City, UT 84106-4462 2014-05-21
1720429632 Motherfed, LLC Lactation Consultant, Non-RN Parkview Plaza One 2180 South 1300 East, Suite 600, Salt Lake City, UT 84106-4462 2013-07-09
1720427537 Julie Lynn Johnson Lactation Consultant, Non-RN 4500 South 495 East, #104, Murray, UT 84107 2013-06-14
1225375504 Karin Hardman Lactation Consultant, Non-RN 856 Kershaw St, Ogden, UT 84403-0232 2013-01-07
1992073506 Marinda A Lloyd Lactation Consultant, Non-RN 390 S 285 W, Bountiful, UT 84010-7114 2011-12-09
1437706181 Erica Heinze LLC Lactation Consultant, Non-RN 150 S 600 E Ste 2c, Salt Lake City, UT 84102-2098 2019-08-19
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Competitor

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City HIGHLAND
Zip Code 84003

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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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