Individual provider Active NPI

Kelly Euperio, R.D., IBCLC

  • Lactation Consultant (Non-RN)
  • Lafayette, CO
National Provider Identifier
1164707931
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-97868 Issued in CO
Practice address
569 Cheyenne Dr
Lafayette, CO 80026-9190
Phone
(719) 930-4897
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X CO
Lactation Consultant (Non-RN) 174N00000X L-97868 CO Primary

Addresses

Primary practice location

569 Cheyenne Dr
Lafayette, CO 80026-9190

Mailing address

569 Cheyenne Dr
Lafayette, CO 80026-9190
Phone (719) 930-4897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L-97868COMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1164707931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 CHEYENNE DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269190",
            "telephone_number": "719-930-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 CHEYENNE DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269190",
            "telephone_number": "719-930-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUPERIO",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "R.D., IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CO",
            "license": "L-97868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.