Healthcare Provider Details

I. General information

NPI: 1104745439
Provider Name (Legal Business Name): SOMMER WILLIAMS BSN, RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8472 WINDMILL CT
SALIDA CO
81201-9815
US

IV. Provider business mailing address

8472 WINDMILL CT
SALIDA CO
81201-9815
US

V. Phone/Fax

Practice location:
  • Phone: 719-207-1389
  • Fax:
Mailing address:
  • Phone: 719-207-1389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-301987
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: