Nicolette Marie Kinsbursky

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-305695 Issued in CA

Practice address

2089 Sawgrass Creek LN
Corona, CA 92883-0623

Phone

(951) 741-1499

NPI assigned

Jul 31, 2023

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

State licenses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1437830577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 SAWGRASS CREEK LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830623",
            "telephone_number": "951-741-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 SAWGRASS CREEK LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830623",
            "telephone_number": "951-741-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSBURSKY",
        "first_name": "NICOLETTE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95060996",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "L-305695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven H Kinder, CMT
• Bahirah King
• Chaniece R King
• Lajoyce Lavivian Benisha King
• Soroce King, APCC
• Kevin Atwood Kirschner
• Hannah Jona Kitch, PT, DPT
• Douglas Allan Kitchen, LMFT
• David Musala Kithuku
• Elaina Kleven

• Lactation Consultant (Registered Nurse) in Corona, CA
• Providers in Corona, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.