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AMY S PETERSON IBCLC
NPI 1699017764
Lactation Consultant, Non-RN in Jerome, ID

Active since March 26, 2013
805 4TH AVE DR, JEROME, ID 83338(208) 308-1350(208) 324-9628 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy S Peterson Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY S PETERSON IBCLC (NPI 1699017764) is an individual lactation consultant, non-rn provider in Jerome, Idaho, licensed in Virginia (101-17560) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1699017764
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameAMY S PETERSONCredential: IBCLC
Location Address805 4TH AVE DRJerome, ID 83338-2104
Mailing Address805 4th Ave DrJerome, ID 83338-2104 · (208) 308-1350 · Fax (208) 324-9628
Phone(208) 308-1350
Fax(208) 324-9628
Sole ProprietorNo
Enumeration DateMarch 26, 2013
✔ NPI 1699017764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in VA · 101-17560
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.
805 4TH AVE DR, Jerome, ID 83338
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Peterson's NPI number?

The NPI number for Amy Peterson is 1699017764. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Amy Peterson located?

Amy Peterson practices at 805 4th Ave Dr, Jerome, ID 83338. The listed phone number is (208) 308-1350.

What is Amy Peterson's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Amy Peterson was last updated on March 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.