Kelly Slattery, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11281557 Issued in IN

Practice address

3438 Victoria Ave
Columbus, IN 47203-2459

Phone

(765) 491-8285

NPI assigned

Jan 12, 2015

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.

• Nurtured Nurslings Lactation Consulting, LLC

  • Lactation Consultant (Non-RN)
  • Columbus, IN
  • NPI 1295239440

  Lactation Consultant, Non-RN

  NPD (past) Authorized official

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1023407285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 VICTORIA AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 VICTORIA AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032459",
            "telephone_number": "765-491-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IN",
            "license": "11281557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Sitterding
• Skin Solutions
• Benjamin R Sklar, HSPP
• Chelsie Skurka
• Olivia Slack
• Ryanne Nicole Slavens
• Johanna Slone, MSW
• Teresa Virginia Sluder, PT
• Jay Douglas Slusher, MSPT
• Sydney Autumn Sluys

• Lactation Consultant (Non-RN) in Columbus, IN
• Providers in Columbus, IN by specialty
• Lactation Consultant (Non-RN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.