Organization Active NPI

Flower Child Kristin Mecocci Walicki RN, Ibclc, PLLC

  • Lactation Consultant (Registered Nurse)
  • Middletown, NY
National Provider Identifier
1396168209
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
22562216 Issued in NY
Legal business name
FLOWER CHILD KRISTIN MECOCCI WALICKI RN, IBCLC, PLLC
Practice address
108 Maureen Dr
Middletown, NY 10940-6681
Phone
(845) 551-7267
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mrs. Kristin Mecocci Walicki, RN, IBCLC
Title
Owner
Phone
(845) 551-7267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X 22562216 NY Primary

Addresses

Primary practice location

108 Maureen Dr
Middletown, NY 10940-6681

Mailing address

108 Maureen Dr
Middletown, NY 10940-6681
Phone (845) 551-7267

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1396168209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAUREEN DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406681",
            "telephone_number": "845-551-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAUREEN DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406681",
            "telephone_number": "845-551-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER CHILD KRISTIN MECOCCI WALICKI RN, IBCLC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "MECOCCI WALICKI",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-551-7267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "22562216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.