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KAITLIN M PETRILLO CLC
NPI 1558090860
Lactation Consultant, Non-RN in Ronkonkoma, NY

Active since June 10, 2022
18 BORMAN CT, RONKONKOMA, NY 11779(631) 219-4992 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Jul 11, 2022, Jun 10, 2022 (3 updates tracked since 2022).

About Kaitlin M Petrillo Clc NPPES

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

KAITLIN M PETRILLO CLC (NPI 1558090860) is an individual lactation consultant, non-rn provider in Ronkonkoma, New York, licensed in New York (341362) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1558090860
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameKAITLIN M PETRILLOCredential: CLC
Location Address18 BORMAN CTRonkonkoma, NY 11779-1981
Mailing Address18 Borman CtRonkonkoma, NY 11779-1981 · (631) 219-4992
Phone(631) 219-4992
Sole ProprietorYes
Enumeration DateJune 10, 2022
Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1558090860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in NY · 341362
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X · License 341362 (MA)
18 BORMAN CT, Ronkonkoma, NY 11779
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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

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

LENORE GUARIGLIA
Lactation Consultant, Non-RN
18 BORMAN CT
RONKONKOMA, NY 11779
Suffolk County (631) 219-4992

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 Kaitlin Petrillo's NPI number?

The NPI number for Kaitlin Petrillo is 1558090860. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Where is Kaitlin Petrillo located?

Kaitlin Petrillo practices at 18 Borman Ct, Ronkonkoma, NY 11779. The listed phone number is (631) 219-4992.

What is Kaitlin Petrillo's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Kaitlin Petrillo was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.