Kelly Massop-McAllister, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

96891 Issued in NY

Practice address

1916 N Uber St
Philadelphia, PA 19121-2229

Phone

(347) 366-6584

NPI assigned

Jun 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1932839099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N UBER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N UBER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212229",
            "telephone_number": "347-366-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOP-MCALLISTER",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "96891",
            "primary": true
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "559592",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NY",
            "license": "559592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athena",
            "affiliation": "Y",
            "endpointDescription": "Athena platform",
            "affiliationName": "SimpliFed, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "9615 E County Line Rd Ste B",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801123531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren M Massimo, CRNP
• Anwar Massis, DO
• Logan Joseph Massman
• Acacia Masso
• Richard Joseph Massone, MD
• Mast Community Charter School II
• Mast Community Charter School III
• Darren Mast, DO
• Elaine Marie Mast
• Kristie Lynne Mast, M.D.

• Lactation Consultant (Registered Nurse) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Lactation Consultant (Registered Nurse) in Pennsylvania

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