Keri A Boston, RN BSN IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Pekin, IL
NPI 1285179986 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1285179986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- L-127068 (IL)
- Practice address
- 1800 Broadway St
Pekin, IL 61554-3822 - Phone
- (309) 929-0296
- Fax
- (309) 925-3028
- NPI assigned
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.385521 | IL | MD | Registered Nurse |
| L-127068 | IL | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.385521 | IL | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-127068 | IL | Yes |
Addresses
Primary practice location
1800 Broadway St
Pekin, IL 61554-3822
Mailing address
PO Box 1596
Tremont, IL 61568-1596
Phone (309) 202-5393
Other providers in Pekin, IL
- Ann Bohls
- Monica Renee Bolding
- Bond Eye Associates, SC
- William Irving Bond
- Kathryn E Booker
- Reginald Bowman
- Jesse Boyles
- Amanda Bozek
- Joe L Bran
- Vicki R. Bree
All providers in Pekin, IL · Lactation Consultant (Registered Nurse) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.