KELLY SUZANNE BLACK RN, IBCLC
NPI 1306598115
Registered Nurse - Lactation Consultant in Greensboro, NC

Q: What is Kelly Black's NPI number?

The NPI number for Kelly Black is 1306598115. It was assigned to this individual provider in the NPPES registry on January 23, 2022.

Q: What is Kelly Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Black was last updated on January 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2022

389 S SWING RD, GREENSBORO, NC 27409(479) 445-4033 Get Directions Write a Review

NPPES record last updated: January 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Suzanne Black Rn, Ibclc NPPES

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

KELLY SUZANNE BLACK RN, IBCLC (NPI 1306598115) is an individual lactation consultant provider in Greensboro, North Carolina, licensed in North Carolina (212428) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1306598115

Entity TypeIndividualFemale

Primary Taxonomy163WL0100X

Provider Legal NameKELLY SUZANNE BLACKCredential: RN, IBCLC

Location Address389 S SWING RDGreensboro, NC 27409-2009

Mailing Address7803 Perthshire DrOak Ridge, NC 27310-8306 · (479) 445-4403

Phone(479) 445-4033

Sole ProprietorYes

Enumeration DateJanuary 23, 2022

NPPES CertifiedJanuary 22, 2022

✔ NPI 1306598115 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 NC · 212428

389 S SWING RD, Greensboro, NC 27409

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PEACE PHYSICAL THERAPY LLC

Physical Therapist

389 S SWING RD
GREENSBORO, NC 27409

Guilford County (336) 450-7267

LAUREN MARDEUSZ RD

Dietitian, Registered

389 S SWING RD
GREENSBORO, NC 27409

Guilford County (336) 228-4500

TRIAD PELVIC HEALTH PHYSICAL THERAPY, LLC

Physical Therapist

389 S SWING RD
GREENSBORO, NC 27409

Guilford County (336) 408-2444

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 Black's NPI number?

The NPI number for Kelly Black is 1306598115. It was assigned to this individual provider in the NPPES registry on January 23, 2022.

Where is Kelly Black located?

Kelly Black practices at 389 S Swing Rd, Greensboro, NC 27409. The listed phone number is (479) 445-4033.

What is Kelly Black'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 Black was last updated on January 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.