P Praxis·MD
● Active Type 1 · Individual

Amy S Peterson, IBCLC

Lactation Consultant, Non-RN·Jerome, ID· NPI 1699017764 · Enumerated 2013 · 13 years on NPI
Peterson is 1 of 1 lactation consultant, non-rn providers in Jerome and 1 of 20 in Idaho.
NPI age
13 years
Enumerated 2013-03-26
Primary specialty
Lactation Consultant, Non-RN
Licensed in
VA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 20 active lactation consultant, non-rn providers in Idaho.

NPI age
13 years
↑ 9 yr above median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-03Enumerated in NPPES
2013 2026

Where they practice

Practice location
805 4th Ave Dr
Jerome, ID 833382104
📞 2083081350fax 2083249628
Mailing address
805 4th Ave Dr
Jerome, ID 833382104
📞 2083081350fax 2083249628

Specialties

  • Lactation Consultant, Non-RN Primary
    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...
    VA license #101-17560 taxonomy 174N00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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