Individual provider Active NPI

Kimberley Chilcote, LACTATION CONSULTANT

  • Lactation Consultant (Registered Nurse)
  • Antioch, CA
National Provider Identifier
1013550219
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
377397 Issued in CA
Practice address
3901 Lone Tree Way FL 2
Antioch, CA 94509-6200
Phone
(925) 779-7230
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 377397 CA Primary

Addresses

Primary practice location

3901 Lone Tree Way FL 2
Antioch, CA 94509-6200

Mailing address

3901 Lone Tree Way FL Center2
Antioch, CA 94509-6200
Phone (925) 202-6630

Other practice location 1

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone (925) 813-6834

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL kimberley.a.chilcote@kp.org Health Information Exchange (HIE)
CONNECT URL chilcok@sutterhealth.net Health Information Exchange (HIE) Hygeia Medical Supplies and Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
377397CAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1013550219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LONE TREE WAY FL CENTER2",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096200",
            "telephone_number": "925-202-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LONE TREE WAY FL 2",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096200",
            "telephone_number": "925-779-7230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Sand Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318687",
            "country_code": "US",
            "telephone_number": "925-813-6834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILCOTE",
        "first_name": "KIMBERLEY",
        "credential": "LACTATION CONSULTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "377397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kimberley.a.chilcote@kp.org",
            "affiliation": "N",
            "endpointDescription": "breastpump",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Breastpump",
            "address_1": "4501 Sand Creek Rd",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945318687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chilcok@sutterhealth.net",
            "affiliation": "Y",
            "affiliationName": "Hygeia Medical Supplies and Services, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Breastpump",
            "address_1": "3901 Lone Tree Way Fl 2",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945096200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.