Individual provider Active NPI

Dawn Christine Kempa, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Mill Neck, NY
National Provider Identifier
1376203729
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
402230 Issued in NY
Practice address
10 Frost Mill Rd
Mill Neck, NY 11765-1101
Phone
(516) 640-9029
NPI assigned
Dec 27, 2021
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 402230 NY Primary

Addresses

Primary practice location

10 Frost Mill Rd
Mill Neck, NY 11765-1101

Mailing address

10 Frost Mill Rd
Mill Neck, NY 11765-1101
Phone (516) 640-9029

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hushforms.com/sustainablelactation

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
402230NYMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
My Best Breast Pump, LLC CurrentSince Sep 24, 2023 Accepting new patients
Lully, LLC CurrentSince Nov 24, 2025 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dkempa73359@northwell.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1376203729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FROST MILL RD",
            "city": "MILL NECK",
            "state": "NY",
            "postal_code": "117651101",
            "telephone_number": "516-640-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FROST MILL RD",
            "city": "MILL NECK",
            "state": "NY",
            "postal_code": "117651101",
            "telephone_number": "516-640-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPA",
        "first_name": "DAWN",
        "middle_name": "CHRISTINE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "402230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hushforms.com/sustainablelactation",
            "affiliation": "N",
            "endpointDescription": "secure form",
            "address_1": "10 Frost Mill Rd",
            "city": "Mill Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117651101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mill Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.