IndividualActive
Bethany Ferguson, RD, LD, IBCLC
NPI 1356816565 · Lactation Consultant (Non-RN) · Niota, IL
Provider details
- NPI number
- 1356816565
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- RD, LD, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 164.007516 (IL)
Specialties & taxonomies
Other Service Providers
Dietary & Nutritional Service Providers
Practice location
1022 E County Road 2770
Niota, IL 62358-2018
Phone: (319) 316-2004
Approximate (ZIP-level) locationGet directions
Mailing address
1022 E County Road 2770
Niota, IL 62358-2018
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.