MRS. KELLY SLATTERY (NPI# 1023407285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023407285 |
| Entity Type | Individual |
| Full Name | MRS. KELLY SLATTERY |
| Credential | IBCLC |
| Practice Address |
3438 Victoria Ave Columbus IN 47203-2459 |
| Practice Telephone | 7654918285 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 11281557 | IN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183933 | Kelly Anele Slattery | Behavioral Analyst | 1417 Beacon St Apt 2, Brookline, MA 02446-4807 | 2018-11-21 |
| 1528208709 | Kelly A. Slattery | Dietitian, Registered | 759 Chestnut St, Springfield, MA 01199-1001 | 2009-02-27 |
| Street Address |
3438 VICTORIA AVE |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295239440 | Nurtured Nurslings Lactation Consulting, LLC | Lactation Consultant, Non-RN | 3438 Victoria Ave, Columbus, IN 47203-2459 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548623267 | Ashwini Sudhir Bhise | Lactation Consultant, Non-RN | 6040 Sheridan Dr, Columbus, IN 47203-8506 | 2016-03-30 |
| 1992194211 | Kelli Shearron Blinn | Lactation Consultant, Non-RN | 2675 Deming Ave, Columbus, OH 43202-2444 | 2015-01-12 |
| 1295944528 | Alison Hazelbaker | Lactation Consultant, Non-RN | 5115 Olentangy River Rd, Columbus, OH 43235-3413 | 2007-05-22 |
| 1295239440 | Nurtured Nurslings Lactation Consulting, LLC | Lactation Consultant, Non-RN | 3438 Victoria Ave, Columbus, IN 47203-2459 | 2018-03-22 |
| 1669989042 | Amanda Walker | Lactation Consultant, Non-RN | 1329 Wynnton Rd, Columbus, GA 31906-2919 | 2018-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492360 | Erika Dudley | Lactation Consultant, Non-RN | 307 Runaway Bay Cir Apt 2a, Mishawaka, IN 46545-8044 | 2020-09-18 |
| 1063037414 | Gemma Regan | Lactation Consultant, Non-RN | 52026 Cloverleaf Dr E, South Bend, IN 46637-6028 | 2020-06-11 |
| 1124683529 | Lauryn E Ulam | Lactation Consultant, Non-RN | 7173 Red Apple Dr, Michigan City, IN 46360-9180 | 2019-05-01 |
| 1306313077 | Kristin Lynn Szerszen | Lactation Consultant, Non-RN | 10275 Peotone Dr, Granger, IN 46530-7744 | 2018-10-30 |
| 1629564125 | Amber Nicole Salvagni | Lactation Consultant, Non-RN | 705 Riverside Dr # 1, South Bend, IN 46601-1048 | 2018-07-08 |
| 1619497443 | Brea Carlson | Lactation Consultant, Non-RN | 1402 Durham Dr, Crawfordsville, IN 47933-3510 | 2017-06-22 |
| 1245788710 | Lauren Majors | Lactation Consultant, Non-RN | 9505 W Thurston Ct, Yorktown, IN 47396-8005 | 2016-09-14 |
| 1790137412 | Erin Smallwood | Lactation Consultant, Non-RN | 5008 Apple Spruce Dr, Indianapolis, IN 46235-4746 | 2016-07-06 |
| 1801257621 | Amanda Gross | Lactation Consultant, Non-RN | 512 W Buena Vista Rd, Evansville, IN 47710-3460 | 2016-03-08 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.