Kayla Wilkes RN, CLC

Key facts

NPI

1558080234

Entity type

Organization (NPI type 2)

Primary specialty

Lactation Consultant (Registered Nurse) 163WL0100X

Legal business name

KAYLA WILKES RN, CLC

Practice address

210 Stewart Gin Rd
Liberty, SC 29657-9001

Phone

(803) 609-9761

NPI assigned

Aug 25, 2022

Organization subpart

Yes

Parent organization (as reported)

KAYLA WILKES RN, CLC

Authorized official

Name

Mrs. Kayla Wilkes, RN, BSN, IBCLC NPI 1891423463

Title

Lactation Counselor

Phone

(803) 609-9761

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Marie Wilkes, RN, CLC Lactation Consultant (Registered Nurse) · Enterprise, AL · NPI 1891423463
  NPD Authorized official LACTATION CONSULTANT

National Provider Directory

Part of

Kayla Wilkes RN CLC

Specialties & licenses

Addresses

Other names

• Kayla Wilkes RN, CLC Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 22, 2026.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1558080234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 STEWART GIN RD",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296579001",
            "telephone_number": "803-609-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 STEWART GIN RD",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296579001",
            "telephone_number": "803-609-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA WILKES RN, CLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAYLA WILKES RN, CLC",
        "enumeration_date": "2022-08-25",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "LACTATION COUNSELOR",
        "authorized_official_telephone_number": "803-609-9761",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayla Wilkes RN, CLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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