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KRYSTLE WALLACE IBCLC
NPI 1699495325
Lactation Consultant, Non-RN in Bowie, MD

Active since September 01, 2022
16002 PHILMONT LN, BOWIE, MD 20716(203) 231-0947 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krystle Wallace Ibclc NPPES

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

KRYSTLE WALLACE IBCLC (NPI 1699495325) is an individual lactation consultant, non-rn provider in Bowie, Maryland and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1699495325
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameKRYSTLE WALLACECredential: IBCLC
Location Address16002 PHILMONT LNBowie, MD 20716-1619
Mailing Address16002 Philmont LnBowie, MD 20716-1619 · (203) 231-0947
Phone(203) 231-0947
Sole ProprietorYes
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1699495325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
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.
16002 PHILMONT LN, Bowie, MD 20716
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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 Krystle Wallace's NPI number?

The NPI number for Krystle Wallace is 1699495325. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Krystle Wallace located?

Krystle Wallace practices at 16002 Philmont Ln, Bowie, MD 20716. The listed phone number is (203) 231-0947.

What is Krystle Wallace'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 Krystle Wallace was last updated on September 1, 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.