KELLY LEI VREDENBURG (NPI# 1952754186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952754186 |
| Entity Type | Individual |
| Full Name | KELLY LEI VREDENBURG |
| Credential | CLC |
| Practice Address |
520 Harland Dr Manhattan KS 66503-9209 |
| Practice Telephone | 2187605225 |
| Mailing Telephone | 2187605225 |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2016-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 241479 | MN | Other Service Providers |
| Street Address |
520 HARLAND DR |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66503-9209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023325552 | Jason Michael Harader | Audiologist | 4201 Anderson Avenue, Bldg. C, Manhattan, KS 66503 | 2010-09-03 |
| 1447576582 | Urban Studios LLC | Prosthetic/Orthotic Supplier | 820 Commons Place, Manhattan, KS 66503 | 2010-04-14 |
| 1013163211 | Majdy Ali A. Albahhar | Dermatology | 4201 B Anderson Avenue, Suite 2, Manhattan, KS 66503 | 2008-08-07 |
| 1972783405 | Erin Nichole Mellies | Counselor | 222 Southwind Pl, Manhattan, KS 66503 | 2007-11-13 |
| 1912067695 | Stoneybrook Nursing Facility Operations, LLC | Skilled Nursing Facility | 2025 Little Kitten Ave, Manhattan, KS 66503 | 2006-12-11 |
| 1144249145 | Ellen Odette Remsing | Dental Assistant | 4201 A Anderson Avenue, Manhattan, KS 66503 | 2006-07-19 |
| 1659332195 | Charles Louis Klobasa | Psychiatry & Neurology | 225 Southwind Place, Manhattan, KS 66503 | 2006-03-31 |
| 1346233657 | Frank C Lyons Jr. | Legal Medicine | 4809 Vue Du Loc, Suite 101, Manhattan, KS 66503 | 2005-08-23 |
| 1932102381 | Tiffany Nicole Engelken | Nurse Practitioner | 4201 Anderson Ave Ste B2, Manhattan, KS 66503 | 2005-05-31 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| Find all providers in zip 66503 | ||||
| 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 |
|---|---|---|---|---|
| 1881179810 | Colleen Mathia Gould | Lactation Consultant, Non-RN | 2700 W 47th Ter, Westwood, KS 66205-1605 | 2018-09-25 |
| 1316421670 | Modern Lactation LLC | Lactation Consultant, Non-RN | 3170 N Campus Dr, Garden City, KS 67846-3728 | 2018-09-21 |
| 1194186007 | Janna Palmer | Lactation Consultant, Non-RN | 6608 E Zimmerly Ct, Wichita, KS 67207-2845 | 2016-03-19 |
| 1932573334 | Monique Holmes | Lactation Consultant, Non-RN | 1223 Motz Ave, Hays, KS 67601-2446 | 2015-11-23 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1629499033 | Julie Fields | Lactation Consultant, Non-RN | 802 Lawrence St, Pratt, KS 67124-1436 | 2014-01-02 |
| 1841542586 | Brenda Carroll | Lactation Consultant, Non-RN | 22005 W 56th St, Shawnee, KS 66226-7921 | 2012-10-04 |
| 1902152804 | Michelle Sanders | Lactation Consultant, Non-RN | 9527 Kessler St, Overland Park, KS 66212-5056 | 2012-07-28 |
| 1821367285 | Melody G. Ward | Lactation Consultant, Non-RN | 454 N Hydraulic Rd, Belle Plaine, KS 67013-8232 | 2011-12-14 |
| 1639468408 | Angela C Taylor | Lactation Consultant, Non-RN | 490 S Hoover Rd, Wellington, KS 67152-8419 | 2011-04-01 |
| 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.