Provider Demographics
NPI:1467646927
Name:FLOOD, VANESSA (IBCLC, CD(DONA) LCCE)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:FLOOD
Suffix:
Gender:F
Credentials:IBCLC, CD(DONA) LCCE
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1619 S KENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2455
Mailing Address - Country:US
Mailing Address - Phone:913-485-0298
Mailing Address - Fax:
Practice Address - Street 1:1619 S KENWOOD ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2455
Practice Address - Country:US
Practice Address - Phone:913-485-0298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS374J00000X, 174H00000X
KSL-75767174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator