Individual provider Active NPI

Katherine Ann Lilleskov, RN IBCLC

  • Lactation Consultant (Registered Nurse)
  • Brooklyn, NY
National Provider Identifier
1265622963
Registry record updated Jul 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
416100-1 Issued in NY
Practice address
160 Garfield PL Apt 1R
Brooklyn, NY 11215-2160
Phone
(718) 768-1767
NPI assigned
Jul 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 416100-1 NY Primary

Addresses

Primary practice location

160 Garfield PL Apt 1R
Brooklyn, NY 11215-2160

Mailing address

160 Garfield PL Apt 1R
Brooklyn, NY 11215-2160
Phone (718) 768-1767

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
416100-1NYMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1265622963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GARFIELD PL APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152160",
            "telephone_number": "718-768-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GARFIELD PL APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152160",
            "telephone_number": "718-768-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLESKOV",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "RN IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "416100-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; 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.