Caelen E McIntyre

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

334738 Issued in AZ

Practice address

PO Box 1824
Fort Defiance, AZ 86504-1824

Phone

(828) 460-7192

NPI assigned

May 21, 2026

Last updated

May 21, 2026By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1518897693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865041824",
            "telephone_number": "828-460-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865041824",
            "telephone_number": "828-460-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "CAELEN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "334738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigette Mastel, CNM
• Kyle Maxum
• Michele Nicole Mazeres, MPH, RD
• Brigid Ethel McCann, D.D.S.
• Phoenix L McClanahan, PHARMD
• Samuel C. McIntyre, PA-C
• Theresa McKinney
• Lindsey McKnight, PTA
• Michael J McNett, MD
• Sabine Irene McReynolds, MD

• Lactation Consultant (Registered Nurse) in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Lactation Consultant (Registered Nurse) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.