IndividualActive
Sally Nelson, IBCLC
NPI 1104374909 · Lactation Consultant (Non-RN) · Salt Lake City, UT
Provider details
- NPI number
- 1104374909
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 S 600 E Ste 2c
Salt Lake City, UT 84102-2098
Phone: (435) 764-2956
Street-level locationGet directions
Mailing address
6480 S 2800 E
Uintah, UT 84403-5491
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2016-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.