Individual provider Active NPI

Kristin Ann Conley, IBCLC

  • Lactation Consultant (Non-RN)
  • Denver, CO
National Provider Identifier
1316699044
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-104791
Practice address
2902 Zuni St
Denver, CO 80211-3827
Phone
(303) 250-0534
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-104791 Primary

Addresses

Primary practice location

2902 Zuni St
Denver, CO 80211-3827

Mailing address

2340 Harmony Park Dr
Westminster, CO 80234-2773
Phone (303) 250-0534

Other identifiers 1

IdentifierTypeStateIssuer
L-104791OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL IntakeQ Direct the mama 'hood

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

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1316699044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 HARMONY PARK DR",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342773",
            "telephone_number": "303-250-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 ZUNI ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113827",
            "telephone_number": "303-250-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-104791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS",
            "identifier": "L-104791",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "IntakeQ",
            "affiliation": "Y",
            "affiliationName": "the mama 'hood",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2902 Zuni St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802113827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.