Kelsey Carroll

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

0001239618 Issued in VA

Practice address

8192 Lyman CT
Mechanicsville, VA 23116-4199

Phone

(267) 939-5145

NPI assigned

Jan 3, 2022

Reactivated

Apr 3, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coming Home LLC

  • Lactation Consultant (Registered Nurse)
  • Mechanicsville, VA
  • NPI 1912668740
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1013678093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8192 LYMAN CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164199",
            "telephone_number": "267-939-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8192 LYMAN CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164199",
            "telephone_number": "267-939-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2025-04-03",
        "certification_date": "2022-01-04",
        "deactivation_date": "2022-01-04",
        "reactivation_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "0001239618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Patrick Carleton
• Kathryn Rae Carley, PT, DPT
• Judson Dupree Carlo, PHARMACIST
• Casey Carnohan
• Carrie Meyer
• Martha Carter Davis, LPC CSAC
• Amy Carter, P.T.
• Anabel Lucia Carter, LCSW
• Jocelyn Carter, OT
• Lauren Elizabeth Carter, OTR

• Lactation Consultant (Registered Nurse) in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Lactation Consultant (Registered Nurse) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.