Individual provider Active NPI

Kathryn Alease Pedley, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Auburn, NY
National Provider Identifier
1396658936
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
630729 Issued in NY
Practice address
5159 Waldron Rd
Auburn, NY 13021-8116
Phone
(315) 406-9220
NPI assigned
Sep 24, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X 630729 NY Primary

Addresses

Primary practice location

5159 Waldron Rd
Auburn, NY 13021-8116

Mailing address

5159 Waldron Rd
Auburn, NY 13021-8116
Phone (315) 406-9220

Other names 1

  • Miss Kathryn Gibbs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1396658936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 WALDRON RD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218116",
            "telephone_number": "315-406-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 WALDRON RD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218116",
            "telephone_number": "315-406-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDLEY",
        "first_name": "KATHRYN",
        "middle_name": "ALEASE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "630729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GIBBS",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.