Organization Active NPI

Kimmons Lactation Services LLC

Doing business as LaShanna Kimmons

  • Lactation Consultant (Non-RN)
  • Park Forest, IL
National Provider Identifier
1659161081
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
KIMMONS LACTATION SERVICES LLC
Doing business as
LaShanna Kimmons
Practice address
143 Indiana St
Park Forest, IL 60466-1078
Phone
(708) 578-5056
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Lashanna Kimmons, IBCLCNPI 1457002511
Title
Owner/Lactation Consultant
Phone
(708) 578-5056

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

143 Indiana St
Park Forest, IL 60466-1078

Mailing address

143 Indiana St
Park Forest, IL 60466-1078
Phone (708) 578-5056

Other names 1

  • LaShanna Kimmons Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1659161081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 INDIANA ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661078",
            "telephone_number": "708-578-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 INDIANA ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661078",
            "telephone_number": "708-578-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMMONS LACTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "KIMMONS",
        "authorized_official_first_name": "LASHANNA",
        "authorized_official_title_or_position": "OWNER/LACTATION CONSULTANT",
        "authorized_official_telephone_number": "708-578-5056",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaShanna Kimmons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.