Natasha-Kristin Reilly

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11222218 Issued in MN

Practice address

910 Pontiac LN
Chanhassen, MN 55317-9447

Phone

(952) 239-1307

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

Yes

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1962800995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PONTIAC LN",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179447",
            "telephone_number": "952-239-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PONTIAC LN",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179447",
            "telephone_number": "952-239-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "NATASHA-KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MN",
            "license": "11222218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provax LLC
• Kathryn Puklich, DPT, PT
• Gail N Raether, D.D.S.
• Carmen Real, DDS
• Patrice Reed-Zweber, MA, LPCC, LADC
• Allyson L Reinsch, PHARM.D.
• Miles Renswick, PHARMD
• Edward Leslie Requet, DC
• Restoration Chiropractic Company, P.a.
• Richard C Axel. DDS, PA

• Lactation Consultant (Non-RN) in Chanhassen, MN
• Providers in Chanhassen, 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 Dec 8, 2014; 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.