Healthcare Provider Details

I. General information

NPI: 1962214031
Provider Name (Legal Business Name): LINDSEY SHIPLEY ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10258 N 5950 W
HIGHLAND UT
84003-9641
US

IV. Provider business mailing address

10258 N 5950 W
HIGHLAND UT
84003-9641
US

V. Phone/Fax

Practice location:
  • Phone: 801-367-7005
  • Fax:
Mailing address:
  • Phone: 801-367-7005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY SHIPLEY
Title or Position: FOUNDER, OWNER
Credential: RN, IBCLC
Phone: 801-367-7005