IndividualActive
Kelly Wysocki-Emery, RN
NPI 1194001594 · Lactation Consultant (Registered Nurse) · Grand Rapids, MI
Provider details
- NPI number
- 1194001594
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704230542 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
233 Fulton St E # 114e
Grand Rapids, MI 49503-3200
Phone: (616) 485-6757
Fax: (616) 333-7710
Street-level locationGet directions
Mailing address
335 Bridge St Nw Apt 1400
Grand Rapids, MI 49504-5393
Additional practice locations (1)
- 335 Bridge St Nw Apt 1400Grand Rapids, MI 49504-5393Phone: (616) 485-6757
Registry dates
- Enumerated
- 2011-10-29
- Last updated
- 2022-10-26
- Certified
- 2022-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.