Jacqueline Kincer, IBCLC, COMC, ISE

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-96282

Practice address

4500 N 32ND St Ste 201D
Phoenix, AZ 85018-3397

Phone

(602) 842-2863

NPI assigned

Jun 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Lactation LLC

  • Lactation Consultant (Non-RN)
  • Phoenix, AZ
  • NPI 1508319054

  Lactation Consultant, Non-RN

  NPD (past) Authorized official

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285084400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 N 33RD PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183316",
            "telephone_number": "425-985-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N 32ND ST STE 201D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183397",
            "telephone_number": "602-842-2863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4717 N 33rd Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183316",
            "country_code": "US",
            "telephone_number": "425-985-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCER",
        "first_name": "JACQUELINE",
        "credential": "IBCLC, COMC, ISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-96282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinanllc
• Julie Kinback
• Allyssa Nicole Kincade, FNP-C
• Michael L Kincaid, DDS
• Elita Kincaide
• Kind Hearts Hospice, Inc.
• Kindness Health, LLC
• Kindnest Home Care LLC
• Kindnest Staffing, LLC
• Kindred Hearts Assisted Living LLC

• Lactation Consultant (Non-RN) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Lactation Consultant (Non-RN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.