Healthcare Provider Details

I. General information

NPI: 1831006139
Provider Name (Legal Business Name): RONDENISE PEAKE IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 N ST NW STE 1
WASHINGTON DC
20036-2827
US

IV. Provider business mailing address

8 THE GRN STE A
DOVER DE
19901-3618
US

V. Phone/Fax

Practice location:
  • Phone: 240-525-5866
  • Fax:
Mailing address:
  • Phone: 240-525-5866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-323410
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: