Kimlin McDaniel Keith, RN, IBCLC

Primary specialty

Perinatal Registered NurseTaxonomy code 163WP1700X

License

418307 Issued in CA

Practice address

1400 Emeline Ave
Santa Cruz, CA 95060-1976

Phone

(831) 454-4857

Fax

(831) 454-5049

NPI assigned

Oct 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan Kimlin McDaniel Jr. 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": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1225312796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601976",
            "telephone_number": "831-454-4857",
            "fax_number": "831-454-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601976",
            "telephone_number": "831-454-4857",
            "fax_number": "831-454-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL KEITH",
        "first_name": "KIMLIN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "CA",
            "license": "418307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "418307",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MCDANIEL",
            "middle_name": "KIMLIN",
            "suffix": "JR.",
            "credential": "RN, IBCLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eileen McCormick, MFT
• Naya Rae McCoy
• Ean Joana McCrystal
• Rebecca McCurdy, AMFT
• Elizabeth Anne McDade-Montez, PHD
• Bonnie E. McDonald
• Roxian J McDonald
• Blaney McDonough, MHRS
• Thomas Mangan McDonough
• Heather Lynne McDowell, MA

• Registered Nurse in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.