P Praxis·MD
● Active Type 1 · Individual

Kelly Sorensen, IBCLC

Lactation Consultant, Non-RN·Athol, ID· NPI 1629513940 · Enumerated 2016 · 9 years on NPI
Sorensen is 1 of 1 lactation consultant, non-rn providers in Athol and 1 of 20 in Idaho.
NPI age
9 years
Enumerated 2016-12-21
Primary specialty
Lactation Consultant, Non-RN
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-12-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 20 active lactation consultant, non-rn providers in Idaho.

NPI age
9 years
↑ 5 yr above median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-12Enumerated in NPPES
2016 2026

Where they practice

Practice location
23582 Rapalla Ct
Athol, ID 838017002
📞 9095532113
Mailing address
23582 Rapalla Ct
Athol, ID 838017002
📞 9095532113

Specialties

  • Lactation Consultant, Non-RN Primary
    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...
    ID license #L-110382 taxonomy 174N00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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