Kjersten Gammell

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

325338

Practice address

8901 Aztec Dr
Eden Prairie, MN 55347-1916

Phone

(678) 509-6455

NPI assigned

Jan 13, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Twin Earth, LLC

  • Multi-Specialty Clinic/Center
  • Minnetonka, MN
  • NPI 1205625381

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1700537404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 AZTEC DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 AZTEC DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471916",
            "telephone_number": "678-509-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10153 42nd St NE",
            "address_purpose": "LOCATION",
            "city": "Saint Michael",
            "state": "MN",
            "postal_code": "553763039",
            "country_code": "US",
            "telephone_number": "952-454-0271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMMELL",
        "first_name": "KJERSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "325338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF LACTATION POLICY AND PRACTICE",
            "identifier": "325338",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gallagher Cosmetic &Family Dentistry, PA
• Michael J Gallagher, DDS
• Sarah J Gallagher, DDS
• Elizabeth Carlisle Gallick, D.C.
• Stephanie Galvin
• Andrew Garbers, LMFT, LADC
• Madison Garnhardt
• Jeannette M Gasal Spilde, MD
• Paige C Gau
• Anna Gavin

• Lactation Consultant (Non-RN) in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Lactation Consultant (Non-RN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.