Individual provider Active NPI

Sierra Kimberly Kniskern, MSN, FNP-C, IBCLC

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1316787369
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-4687-0 Issued in HI
Practice address
205 16TH St
Honolulu, HI 96818-4725
Phone
(603) 852-7103
NPI assigned
May 28, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-4687-0 HI Primary
Lactation Consultant (Registered Nurse) 163WL0100X RN-112261 HI

Addresses

Primary practice location

205 16TH St
Honolulu, HI 96818-4725

Mailing address

205 16TH St
Honolulu, HI 96818-4725

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN-112261HIMDLactation Consultant (Registered Nurse)
APRN-4687-0HIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1316787369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 16TH ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 16TH ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184725",
            "telephone_number": "603-852-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNISKERN",
        "first_name": "SIERRA",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-4687-0",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "HI",
            "license": "RN-112261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.