Individual provider Active NPI

Kathryn L Coffey, RN, IBCLC, CBS

  • Lactation Consultant (Registered Nurse)
  • Indianapolis, IN
National Provider Identifier
1306633714
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-316901 Issued in ZZ
Practice address
7742 Bayridge Dr
Indianapolis, IN 46236-9089
Phone
(574) 361-8222
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28202125A IN
Lactation Consultant (Registered Nurse) 163WL0100X L-316901 ZZ Primary

Addresses

Primary practice location

7742 Bayridge Dr
Indianapolis, IN 46236-9089

Mailing address

7742 Bayridge Dr
Indianapolis, IN 46236-9089
Phone (574) 361-8222

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
28202125AINMDRegistered Nurse
L-316901ZZMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1306633714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 BAYRIDGE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369089",
            "telephone_number": "574-361-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 BAYRIDGE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369089",
            "telephone_number": "574-361-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "RN, IBCLC, CBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28202125A",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ZZ",
            "license": "L-316901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.