Hillary Maria Kelly, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-311402 Issued in IL

Practice address

15909 Pin Hook Ave
Petersburg, IL 62675-6670

Phone

(217) 671-9635

NPI assigned

Nov 7, 2023

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1699549006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15909 PIN HOOK AVE",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626756670",
            "telephone_number": "217-671-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 PIN HOOK AVE",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626756670",
            "telephone_number": "217-671-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HILLARY",
        "middle_name": "MARIA",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "L-311402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Network Associates (Menard Medical Center)
• Healthcare Network Associates (Menard Medical Center)
• Amanda Hill, LPC
• Thelma Hinton
• Mary N Hollis, RN
• Katherine A Krall, CFNP
• Amanda L. Meeks, M.D.
• Memorial Physician Services
• Menard Convalescent Center, Inc
• Menard Convalescent Center, Inc

• Lactation Consultant (Non-RN) in Petersburg, IL
• Providers in Petersburg, IL by specialty
• Lactation Consultant (Non-RN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.