Individual provider Active NPI

Kelly Telfer, RN

  • Lactation Consultant (Registered Nurse)
  • Sisters, OR
National Provider Identifier
1952950487
Registry record updated Sep 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-165285 Issued in OR
Practice address
70120 McKenzie Canyon Rd
Sisters, OR 97759-9742
Phone
(541) 236-2326
NPI assigned
Sep 7, 2019
Last updated
Sep 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2019

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)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X L-165285 OR Primary

Addresses

Primary practice location

70120 McKenzie Canyon Rd
Sisters, OR 97759-9742

Mailing address

70120 McKenzie Canyon Rd
Sisters, OR 97759-9742
Phone (541) 604-5777

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.latchymamalactation.com

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

LicenseStateTypeSpecialty
L-165285ORMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567814400000",
    "number": "1952950487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70120 MCKENZIE CANYON RD",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977599742",
            "telephone_number": "541-604-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70120 MCKENZIE CANYON RD",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977599742",
            "telephone_number": "541-236-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELFER",
        "first_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "L-165285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.latchymamalactation.com",
            "affiliation": "N",
            "address_1": "70120 McKenzie Canyon Rd",
            "city": "Sisters",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977599742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; 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.