Individual provider Active NPI

Deandra Monet Kees, MPPA, IBCLC

  • Lactation Consultant (Non-RN)
  • Greensboro, NC
National Provider Identifier
1376390716
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-314589
Practice address
1852 Banking St Ste 9236
Greensboro, NC 27408-7222
Phone
(901) 574-7726
NPI assigned
May 3, 2024
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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-314589 Primary

Addresses

Primary practice location

1852 Banking St Ste 9236
Greensboro, NC 27408-7222

Mailing address

1852 Banking St Ste 9236
Greensboro, NC 27408-7222
Phone (901) 574-7726

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1376390716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 BANKING ST STE 9236",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087222",
            "telephone_number": "901-574-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 BANKING ST STE 9236",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087222",
            "telephone_number": "901-574-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEES",
        "first_name": "DEANDRA",
        "middle_name": "MONET",
        "credential": "MPPA, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-314589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.