Kendall Belle Keeter, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

5047 Waterford Dr
Fayetteville, NC 28303-2886

Phone

(615) 715-8720

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1679257174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 WATERFORD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032886",
            "telephone_number": "615-715-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5047 WATERFORD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032886",
            "telephone_number": "615-715-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETER",
        "first_name": "KENDALL",
        "middle_name": "BELLE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Keegan
• Maria L Keels
• Shonntavia Renee Keels
• Keeping My Father's House, LLC
• Edwin Clifton Keeter Jr., PHARM D
• Tamara Keibler, R.PH.
• Mary Rebecca Keith, DMD
• Valentine Chimaobi Keke, MD
• Rosemary Eileen Kelley, PA-C
• Louise Henri Kelliher, LPC, LMFT

• Lactation Consultant (Non-RN) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Lactation Consultant (Non-RN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.