CMS-1500 Box 24J / 33a • NPI
1720338114
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
174N00000X
Licensed & Credentialed Lactation Consultant, Non-RN
Box 32 Service Location & ZIP+4
780 N 1ST STREET, SPRINGFIELD, NE, 68059
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1720338114 (ASHLIE BERGREN, RN BSN IBCLC RLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1720338114 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ASHLIE BERGREN, RN BSN IBCLC RLC |
| Plain-English Specialty | Licensed & Credentialed Lactation Consultant, Non-RN NUCC Code: 174N00000X (Lactation Consultant, Non-RN) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 780 N 1ST STREET, SPRINGFIELD, NE, 68059 |
| Practice Telephone / Fax | Tel: (402) 658-0578 |
| Administrative Mailing Address | 780 N 1ST STREET, SPRINGFIELD, NE, 68059 |
| Enumeration & Last Sync | Enumerated: 2012-09-13 | CMS Record Updated: 2024-11-19 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (174N00000X)
What Does Taxonomy Code 174N00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174N00000X translates to:
"Licensed & Credentialed Lactation Consultant, Non-RN"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ASHLIE BERGREN, RN BSN IBCLC RLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WL0100X — Registered Nurse, Lactation ConsultantPlain English: Licensed & Credentialed Registered Nurse, Lactation Consultant | State: NE | License: 66714 | Primary: Secondary |
174N00000X — Lactation Consultant, Non-RNPlain English: Licensed & Credentialed Lactation Consultant, Non-RN | State: NE | License: 11075800 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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