NPI 1669952289 · live from the CMS NPI Registry
Rebecca Antaya, RDN, IBCLC
Lactation Consultant, Non-RN in Wyoming, MI. National Provider Identifier 1669952289, active.
NPI record
| NPI | 1669952289 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Lactation Consultant, Non-RN 174N00000X |
| Practice location | 5503 Albright Ave Sw, Wyoming, MI 49418 |
| Practice phone | 616-403-0786 |
| Enumerated | August 14, 2018 |
| Last updated | March 11, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant, Non-RN primary | 174N00000X | L-141903 |
| Dietitian, Registered | 133V00000X | 846899 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.