Mahealani Kim Buckler, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

782243 Issued in CA

Practice address

8325 University Ave
La Mesa, CA 91942-9322

Phone

(619) 343-2502

NPI assigned

Jan 21, 2019

Last updated

Jan 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mahealani Kim Crossley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1164996336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 TOMMY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192013",
            "telephone_number": "303-859-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429322",
            "telephone_number": "619-343-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLER",
        "first_name": "MAHEALANI",
        "middle_name": "KIM",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "782243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHEALANI",
            "last_name": "CROSSLEY",
            "middle_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryant Nguyen, MD, PC
• Tamika Mims Bryant
• Lana Bubalo, DDS
• Morey Jack Bubis, MD
• Briggitte N Buchanan
• Joseph Andrew Buckley, D.D.S.
• Kailey Grace Buckley
• BJ Budeck
• Kevin Thien Toan Bui, M.D.
• Tina Bui, O.D.

• Lactation Consultant (Registered Nurse) in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.