MS. KALLYN ANN LANG (NPI# 1093278103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093278103 |
| Entity Type | Individual |
| Full Name | MS. KALLYN ANN LANG |
| Credential | IBCLC |
| Practice Address |
3851 S Upper Meadow Circle Wasilla AK 99623-9962 |
| Mailing Address |
Po Box 873083 Wasilla AK 99687-3083 |
| Practice Telephone | 9079781343 |
| Mailing Telephone | 9079781343 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-150012 | AK | Other Service Providers |
| Street Address |
3851 S UPPER MEADOW CIRCLE |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-9962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| 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 |
|---|---|---|---|---|
| 1770930646 | Debra Janine Aubert | Lactation Consultant, Non-RN | 4090 W Muffin St, Wasilla, AK 99623-4142 | 2016-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978712 | Carrie Adele Harris | Lactation Consultant, Non-RN | 3730 Rhone Cir Ste 101, Anchorage, AK 99508-5054 | 2020-03-25 |
| 1639666134 | Jennifer Elizabeth Aist | Lactation Consultant, Non-RN | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2018-04-19 |
| 1376897926 | Sarah Rush Stevens | Lactation Consultant, Non-RN | 3730 Rhone Cir, Ste 101, Anchorage, AK 99508-5051 | 2012-11-05 |
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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.