Kelly Duheme, IBCLC, RN

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

431182 Issued in NY

Practice address

211 Church St
Saratoga Springs, NY 12866-1003

Phone

(518) 587-3222

NPI assigned

Sep 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1508535477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661003",
            "telephone_number": "518-587-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHEME",
        "first_name": "KELLY",
        "credential": "IBCLC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "431182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "431182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L12446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Flye Drew, LMHC
• Drive Physical Therapy
• Philip E Drum, PHD
• Melissa Duell
• Pamela Duell, PT
• Suveyda Dumanli, LMHC
• Catherine S Duncan, BSN, RN
• Ethel B Duncan, NP
• Lisa Catherine Dungate, PSYD, M.A., LMHC
• Candice Jean Dunn, PSYD

• Lactation Consultant (Registered Nurse) in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Lactation Consultant (Registered Nurse) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.