Active NPI
The Balanced Boob
- Lactation Consultant (Registered Nurse)
- Crofton, MD
National Provider Identifier
1356213599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- Legal business name
- THE BALANCED BOOB
- Practice address
- 1782 E Regents Park Rd
Crofton, MD 21114-2530 - Phone
- (856) 220-5144
- NPI assigned
- Sep 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Kendall, RN IBCLC
- Title
- Ceo
- Phone
- (856) 220-5144
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | Primary |
Addresses
Primary practice location
1782 E Regents Park Rd
Crofton, MD 21114-2530
Mailing address
1782 E Regents Park Rd
Crofton, MD 21114-2530
Phone (856) 220-5144
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Lactation Consultant (Registered Nurse)
- Crofton, MD
- NPI 1770101180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1356213599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1782 E REGENTS PARK RD",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142530",
"telephone_number": "856-220-5144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1782 E REGENTS PARK RD",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142530",
"telephone_number": "856-220-5144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BALANCED BOOB",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-18",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "KENDALL",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "856-220-5144",
"authorized_official_credential": "RN IBCLC"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crofton, MD
- Brittini Taylor
- Melissa I Taylor, P.A.
- Whitney Teder
- Jason Ulysses Terry Sr., COTA/L
- The Atlantic Pain Center, LLC
- The Martin Collective LLC Dba Potters Therapeutic Agency
- The Pediatric Group and Families Too, LLC
- Therapeutic Health Associates, LLC
- Thomas K. Lo, D.C., M.a., LLC
- Kemmesha Latrice Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.