KELLI BREANNE MCDERMOTT RN IBCLC NPI 1659243467

NPI Information

  • NPI: 1659243467
  • Provider Name: KELLI BREANNE MCDERMOTT, RN, IBCLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 160 SPRING MEADOW DR
    SPRINGTOWN, TX
    ZIP 76082
  • Phone: (909) 573-6213

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NPI Details

Kelli Breanne Mcdermott, RN, IBCLC is a lactation consultant registered nurse in Springtown, TX. Kelli Breanne Mcdermott, RN, IBCLC NPI is 1659243467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 SPRING MEADOW DR
SPRINGTOWN, TX
ZIP 76082-140
Phone: (909) 573-6213

The enumeration date for this NPI number is 9/22/2025 and was last updated on 9/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WL0100XRegistered NurseLactation Consultant1065856TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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