Kaylie Lynne Siedow

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

9587353 Issued in FL

Practice address

17473 Ashcomb Way
Estero, FL 33928-6517

Phone

(813) 291-4695

NPI assigned

Jul 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Thrive Lactation Center

  • Lactation Consultant (Registered Nurse)
  • Fort Myers, FL
  • NPI 1043987712
  NPD

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1407745433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17473 ASHCOMB WAY",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17473 ASHCOMB WAY",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286517",
            "telephone_number": "813-291-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEDOW",
        "first_name": "KAYLIE",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "FL",
            "license": "9587353",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "9587353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Shelton, APRN
• Jennifer Sherwin, MD
• Brian J Shiple, DO
• Iva Shkurti, MD
• Sara Maria Sidaoui, RPH
• Sievers and Company, LLC (Teresa A. Siever, MD)
• Michael Aaron Sills, D.C.
• Dante Simmons, PHARMD
• Scott W Sitterson
• Karen Slater, MD.

• Lactation Consultant (Registered Nurse) in Estero, FL
• Providers in Estero, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.