Kristin Landis Polston, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

10893163 Issued in PA

Practice address

2479 Panther Valley Rd
Pottsville, PA 17901-8700

Phone

(570) 385-0577

NPI assigned

Mar 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332547200000",
    "number": "1467728469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2479 PANTHER VALLEY RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018700",
            "telephone_number": "570-385-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2479 PANTHER VALLEY RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018700",
            "telephone_number": "570-385-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSTON",
        "first_name": "KRISTIN",
        "middle_name": "LANDIS",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-24",
        "last_updated": "2012-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "PA",
            "license": "10893163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Rehabilitation and Health Services, Inc.
• Pinnacle Mid-Atlantic Anesthesia Associates PC
• Pivotal Interventions, Inc (Gym-Jam Therapeutics, Inc.)
• Tammy Leigh Plummer
• Ashley Marie Pokrywa, LSW
• William P Pompella, D.O.
• Barbara Anne Poncelet, CRNP
• Pottsville Anesthesia Associates LLC
• Pottsville Area Emergency Medical Services, Inc. (Pottsville Area EMS, Schuylkill Haven Area EMS, Schuylkill EMS)
• Pottsville Area Physical Therapy Services P.C.

• Lactation Consultant (Registered Nurse) in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Lactation Consultant (Registered Nurse) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; 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.