Individual provider Active NPI

Caroline McKellar Pillsbury, BSN, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Rusk, TX
National Provider Identifier
1548068901
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
1031995 Issued in TX
Practice address
1170 Johnson Dr
Rusk, TX 75785-1804
Phone
(903) 721-4283
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 1031995 TX Primary

Addresses

Primary practice location

1170 Johnson Dr
Rusk, TX 75785-1804

Mailing address

113 Mockingbird LN
Tyler, TX 75701-3019
Phone (205) 520-8497

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1031995TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milk & Honey Lactation Services LLC CurrentSince Mar 11, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1548068901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MOCKINGBIRD LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013019",
            "telephone_number": "205-520-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 JOHNSON DR",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851804",
            "telephone_number": "903-721-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLSBURY",
        "first_name": "CAROLINE",
        "middle_name": "MCKELLAR",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "1031995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.