Stephanie Koppel, IBCLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Reading, MI

NPI 1679499495 · NPPES record last updated Jun 25, 2026

Key facts

NPI
1679499495
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
Practice address
3499 Sand Lake Rd
Reading, MI 49274-8801
Phone
(517) 398-4839
NPI assigned
Jun 25, 2026
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Grace & Growth Lactation Lactation Consultant, Non-RN Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X MI Yes

Addresses

Primary practice location

3499 Sand Lake Rd
Reading, MI 49274-8801

Mailing address

3499 Sand Lake Rd
Reading, MI 49274-8801
Phone (517) 398-4839

Other providers in Reading, MI

All providers in Reading, MI · Lactation Consultant (Non-RN) in Michigan

Sources for this page

Verify at the official NPI Registry.