Kellie Nielsen, IBCLC, RN

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-310915 Issued in IA

Practice address

2905 38TH St
Des Moines, IA 50310-4022

Phone

(319) 480-9532

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1013692557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 38TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503104022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 38TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503104022",
            "telephone_number": "319-480-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "KELLIE",
        "credential": "IBCLC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IA",
            "license": "L-310915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Yen Tuyet Nguyen
• Trivian Nguyen, MD
• Gina Nichols
• Tim P Nicolino, D.D.S.
• Erik Daniel Nielsen, PHARMD
• Taylor Todd Henry Nielsen, DMD
• Xolisa Buhle Nikani
• Ninth Street Operations, LLC
• Jill Niswander, LMFT
• Joseph Matthew Nixon

• Lactation Consultant (Registered Nurse) in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Lactation Consultant (Registered Nurse) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.