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MRS. MCKENZIE BETTE CORNILSEN CLC, SBD
NPI 1801653605
Lactation Consultant, Non-RN in Davenport, IA

Active since February 28, 2024
2010 E 38TH ST STE 201B, DAVENPORT, IA 52807(184) 656-2200 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mckenzie Bette Cornilsen Clc, Sbd NPPES

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

MRS. MCKENZIE BETTE CORNILSEN CLC, SBD (NPI 1801653605) is an individual lactation consultant, non-rn provider in Davenport, Iowa, licensed in Iowa (ALPP-330760) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1801653605
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameMRS. MCKENZIE BETTE CORNILSENCredential: CLC, SBD
Location Address2010 E 38TH ST STE 201BDavenport, IA 52807-1179
Mailing AddressPo Box 623Buffalo, IA 52728-0623 · (563) 320-4698
Phone(184) 656-2200
Sole ProprietorYes
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1801653605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in IA · ALPP-330760
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.
Also ListedDoulaTaxonomy 374J00000X
2010 E 38TH ST STE 201B, Davenport, IA 52807
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISMATIC PELVIC HEALTH, PLLC
Occupational Therapist
2010 E 38TH ST STE 201B
DAVENPORT, IA 52807
Scott County (563) 265-1154
JACQUELINE M GULLEY DC
Chiropractor
2010 E 38TH ST STE 201B
DAVENPORT, IA 52807
Scott County (309) 714-5512
QC DOULA CONNECT
Doula
2010 E 38TH ST STE 201B
DAVENPORT, IA 52807
Scott County (563) 200-1846
JACOB BRADLEY BORAAS DC
Chiropractor
2010 E 38TH ST STE 201B
DAVENPORT, IA 52807
Scott County (563) 265-5494
MIRANDA S MENDOZA LM, LCPM, CPM
Midwife
2010 E 38TH ST STE 201B
DAVENPORT, IA 52807
Scott County (309) 644-0485

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 Mckenzie Cornilsen's NPI number?

The NPI number for Mckenzie Cornilsen is 1801653605. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Mckenzie Cornilsen located?

Mckenzie Cornilsen practices at 2010 E 38th St Ste 201B, Davenport, IA 52807. The listed phone number is (184) 656-2200.

What is Mckenzie Cornilsen'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 Mckenzie Cornilsen was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.