Individual provider Active NPI

Kelly Leland

  • Lactation Consultant (Registered Nurse)
  • Cedar Park, TX
National Provider Identifier
1780211425
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
797006 Issued in TX
Practice address
301 Brushy Creek Rd Ste 106
Cedar Park, TX 78613-3151
Phone
(512) 765-9599
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 797006 TX Primary

Addresses

Primary practice location

301 Brushy Creek Rd Ste 106
Cedar Park, TX 78613-3151

Mailing address

9311 N FM 620 Rd # 247
Austin, TX 78726-4129
Phone (512) 765-9959

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

State licenses

LicenseStateTypeSpecialty
797006TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Babies 411 LLC Lactation Consultant CurrentSince Mar 1, 2020 Accepting new patients

Locations

9311 N FM 620 Rd
Austin, TX 78726

1001 Cypress Creek Rd
Ste 302
Cedar Park, TX 78613
Phone (512) 765-9959

301 Brushy Creek Rd
Ste 106
Cedar Park, TX 78613
Phone (512) 765-9599

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1780211425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 N FM 620 RD # 247",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264129",
            "telephone_number": "512-765-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRUSHY CREEK RD STE 106",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133151",
            "telephone_number": "512-765-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAND",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "797006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.