Individual provider Active NPI

Rachelle Deanne King, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Huntington Beach, CA
National Provider Identifier
1427645332
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
95070439 Issued in CA
Practice address
20831 Crestview LN
Huntington Beach, CA 92646-5951
Phone
(949) 394-3136
NPI assigned
Dec 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 95070439 CA
Ambulatory Women's Health Care Registered Nurse 163WW0101X 95070439 CA
Lactation Consultant (Registered Nurse) 163WL0100X 95070439 CA Primary

Addresses

Primary practice location

20831 Crestview LN
Huntington Beach, CA 92646-5951

Mailing address

20831 Crestview LN
Huntington Beach, CA 92646-5951
Phone (949) 394-3136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ibclc@rachellekinglactation.com Direct

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95070439CAMDAmbulatory Women's Health Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1427645332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20831 CRESTVIEW LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926465951",
            "telephone_number": "949-394-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20831 CRESTVIEW LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926465951",
            "telephone_number": "949-394-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RACHELLE",
        "middle_name": "DEANNE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "95070439",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "95070439",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "95070439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ibclc@rachellekinglactation.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20831 Crestview Ln",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926465951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.