Priscilla Keller, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-309857 Issued in TX

Practice address

15133 Belclaire Ave
Aledo, TX 76008-1956

Phone

(714) 356-1498

NPI assigned

Apr 25, 2024

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

Master of Science

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.

• The Breastfeeding Success Company, LLC

  • Pediatrics Physician
  • Austin, TX
  • NPI 1609275858

  Lactation Consultant

  NPD (past)

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1114773512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15133 BELCLAIRE AVE",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081956",
            "telephone_number": "714-356-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15133 BELCLAIRE AVE",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081956",
            "telephone_number": "714-356-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "PRISCILLA",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-309857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bolden Psychotherapy Group, PLLC
• Lindsey Jones, PHARM D
• Joseph Zadeh DO
• Kathryn Michelle Joseph
• Sydney Kamin, MS, LAT, ATC
• Kelly Robinson Kemp, D.D.S.
• Suhail Khan, M.D.
• Ashley Morgan Kirkland
• KLC Pediatric Therapy, LLC
• Sandy Koneiber

• Lactation Consultant (Registered Nurse) in Aledo, TX
• Providers in Aledo, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.