Organization Active NPI

Barbara Kilbourn'S Healthy Boutique

  • Prosthetic/Orthotic Supplier
  • Lancaster, CA
National Provider Identifier
1346646783
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BARBARA KILBOURN'S HEALTHY BOUTIQUE
Practice address
43129 Sunny LN
Lancaster, CA 93536-4688
Phone
(661) 722-9500
Fax
(661) 722-9902
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Ms. Barbara Ann Kilbourn, CFMNPI 1255745758
Title
Owner
Phone
(661) 722-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

43129 Sunny LN
Lancaster, CA 93536-4688

Mailing address

43129 Sunny LN
Lancaster, CA 93536-4688
Phone (661) 722-9500

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Barbara Kilbourn'S Healthy Boutique43129 Sunny LN, Lancaster, CA 93536-4688(661) 722-9500 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jul 18, 2014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1346646783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43129 SUNNY LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364688",
            "telephone_number": "661-722-9500",
            "fax_number": "661-722-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43129 SUNNY LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364688",
            "telephone_number": "661-722-9500",
            "fax_number": "661-722-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA KILBOURN'S HEALTHY BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "KILBOURN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-722-9500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.