Active NPI
Summer Killian, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Ithaca, NY
National Provider Identifier
1689114522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 592146
- Practice address
- 521 N Albany St
Ithaca, NY 14850-4065 - Phone
- (607) 592-4069
- NPI assigned
- Feb 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 592146 | NY | Primary |
Addresses
Primary practice location
521 N Albany St
Ithaca, NY 14850-4065
Mailing address
521 N Albany St
Ithaca, NY 14850-4065
Phone (607) 592-4069
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 592146 | NY | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487980800000",
"number": "1689114522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 N ALBANY ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504065",
"telephone_number": "607-592-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N ALBANY ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504065",
"telephone_number": "607-592-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLIAN",
"first_name": "SUMMER",
"name_prefix": "Ms.",
"credential": "RN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-25",
"last_updated": "2017-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "592146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.