Active NPI
Kaylen King
- Lactation Consultant (Non-RN)
- Springfield, MO
National Provider Identifier
1447982467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 1901 S Ventura Ave Ste B
Springfield, MO 65804-2700 - Phone
- (417) 233-1100
- Fax
- (417) 622-4454
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
1901 S Ventura Ave Ste B
Springfield, MO 65804-2700
Mailing address
1901 S Ventura Ave Ste B
Springfield, MO 65804-2700
Phone (417) 233-1100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.ecw.com | Direct |
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": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1447982467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S VENTURA AVE STE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042700",
"telephone_number": "417-233-1100",
"fax_number": "417-622-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S VENTURA AVE STE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042700",
"telephone_number": "417-233-1100",
"fax_number": "417-622-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KAYLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.ecw.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1901 S Ventura Ave Ste B",
"city": "Springfield",
"state": "MO",
"country_code": "US",
"postal_code": "658042700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.