KELLY JO WYSOCKI-EMERY RN
NPI 1194001594
Registered Nurse - Lactation Consultant in Grand Rapids, MI

Active since October 29, 2011
233 FULTON ST E # 114E, GRAND RAPIDS, MI 49503(616) 485-6757(616) 333-7710 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2022, Feb 2, 2016 (2 updates tracked since 2016).

About Kelly Jo Wysocki-emery Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JO WYSOCKI-EMERY RN (NPI 1194001594) is an individual lactation consultant provider in Grand Rapids, Michigan, licensed in Michigan (4704230542) and active in the NPI registry since October 2011. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1194001594
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameKELLY JO WYSOCKI-EMERYCredential: RN
Location Address233 FULTON ST E # 114EGrand Rapids, MI 49503-3200
Mailing Address335 Bridge St Nw Apt 1400Grand Rapids, MI 49504-5393 · (616) 485-6757 · Fax (616) 333-7710
Fax(616) 333-7710
Sole ProprietorYes
Enumeration DateOctober 29, 2011
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
NPI 1194001594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License Licensed in MI · 4704230542
233 FULTON ST E # 114E, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 1335 Bridge St NW Apt 1400Grand Rapids, MI 49504-5393 · Phone (616) 485-6757

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
233 FULTON ST E # 114E
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wysocki-emery's NPI number?

The NPI number for Kelly Wysocki-emery is 1194001594. It was assigned to this individual provider in the NPPES registry on October 29, 2011.

Where is Kelly Wysocki-emery located?

Kelly Wysocki-emery practices at 233 Fulton St E # 114E, Grand Rapids, MI 49503. The listed phone number is (616) 485-6757.

What is Kelly Wysocki-emery's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Lactation Consultant, with taxonomy code 163WL0100X.

When was this NPI record last updated?

The NPPES record for Kelly Wysocki-emery was last updated on October 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.