Active NPIIndividual providerSole proprietor

Crystal Nelson, CLC

Lactation Consultant, Non-RN in Old Greenwich, Connecticut

NPI Number1114648912
Practice location
276 Sound Beach Ave Fl 2, Old Greenwich, CT 06870-1621
Fax
—
Last updated
January 27, 2023

Crystal Nelson is a Lactation Consultant, Non-RN based in Old Greenwich, CT. Crystal Nelson practices in Old Greenwich, CT and has the professional credentials of CLC. The NPI Number for Crystal Nelson is 1114648912 and holds a License No. 332546 (OR). The current practice location address for Crystal Nelson is 276 Sound Beach Ave Fl 2, Old Greenwich, CT 06870-1621 and can be reached out via phone at 541-390-8649.

Provider Profile Details

NPI Number
1114648912
Provider Name
Crystal Nelson
Credential
CLC
Provider Entity Type
Individual
Gender
Female
Address
276 Sound Beach Ave Fl 2, Old Greenwich, CT 06870-1621
Phone Number
541-390-8649
Primary Taxonomy
Lactation Consultant, Non-RN · 174N00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 9, 2022
Last Update Date
January 27, 2023
Certification Date
November 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
276 Sound Beach Ave Fl 2
Old Greenwich, CT 06870-1621
Zip
06870-1621
Phone Number
541-390-8649
Old Greenwich, CT 06870Get directions →

Provider Business Mailing Address Details

Address
1686 W Antler Ave
Redmond, OR 97756-1917
City
Redmond
State
OR
Zip
97756-1917
Phone Number
541-390-8649

License Information

License Number
332546
License State
OR
Taxonomy
Lactation Consultant, Non-RN · 174N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Crystal Nelson, CLC?

The NPI number of Crystal Nelson, CLC is 1114648912. It was assigned on September 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Crystal Nelson, CLC?

Crystal Nelson, CLC is registered under the primary taxonomy Lactation Consultant, Non-RN (code 174N00000X), licensed in OR under license number 332546.

Where does Crystal Nelson, CLC practice?

The practice location is 276 Sound Beach Ave Fl 2, Old Greenwich, CT 06870-1621. The office can be reached at 541-390-8649 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114648912 directly on the NPPES registry website.

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