JENNIFER CAMERON KELLETT (NPI# 1487053070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487053070 |
| Entity Type | Individual |
| Full Name | JENNIFER CAMERON KELLETT |
| Credential | C.L.C. |
| Practice Address |
3010 Goodwyn Green Cir Memphis TN 38111-2321 |
| Practice Telephone | 9014907456 |
| Mailing Telephone | 9014907456 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
3010 GOODWYN GREEN CIR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| 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 |
|---|---|---|---|---|
| 1891274361 | Joni Finton Rose | Lactation Consultant, Non-RN | 2280 Heatherwood Cv, Memphis, TN 38119-6511 | 2018-08-07 |
| 1083077572 | Emily Kearney | Lactation Consultant, Non-RN | 5085 Woodlark Ave, Memphis, TN 38117-7213 | 2016-04-01 |
| 1336538644 | Symetric Home Health Service | Lactation Consultant, Non-RN | 2800 S Mendenhall Rd Apt 23, Memphis, TN 38115-1785 | 2015-01-10 |
| 1568008795 | Radix Wellness, LLC | Lactation Consultant, Non-RN | 1314 Peabody Ave, Memphis, TN 38104-3500 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091108 | Lydia Dailey | Lactation Consultant, Non-RN | 1328 Burchett Dr, Clarksville, TN 37042-6767 | 2019-12-28 |
| 1184267163 | Terry Melinda Ring | Lactation Consultant, Non-RN | 142 Cadet Ln, Franklin, TN 37064-2360 | 2019-10-23 |
| 1225594666 | Sara Danielle Huddleston | Lactation Consultant, Non-RN | 1200 Jones St, Old Hickory, TN 37138-2935 | 2019-02-11 |
| 1558825240 | Jean Webb Bonnyman | Lactation Consultant, Non-RN | 119 Greenbrier Dr, Knoxville, TN 37919-4114 | 2019-01-26 |
| 1770060451 | Brandy Lendley | Lactation Consultant, Non-RN | 266 Bagley Hollow Rd, Fayetteville, TN 37334-4528 | 2018-07-25 |
| 1629564737 | Catherine Badger-rodriguez | Lactation Consultant, Non-RN | 417 Asheford Ct, Antioch, TN 37013-2354 | 2018-07-02 |
| 1154839017 | Connor Anne Giddens | Lactation Consultant, Non-RN | 1314 W Broad St Apt F1, Cookeville, TN 38501-4690 | 2018-01-12 |
| 1518474956 | Ashley Georgakopoulos | Lactation Consultant, Non-RN | 6304 Brackett Rd, Knoxville, TN 37938-3303 | 2018-01-08 |
| 1811433691 | Leah K Brown | Lactation Consultant, Non-RN | 470 Thoroughbred Ln, Hartsville, TN 37074-3560 | 2017-01-17 |
| 1083064489 | Rachel Martinez | Lactation Consultant, Non-RN | 113 County Road 584, Englewood, TN 37329-5101 | 2016-06-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER CAMERON KELLETT.
| 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.