Active NPI
Kristin McCord, RD, IBCLC
- Lactation Consultant (Non-RN)
- Calabasas, CA
National Provider Identifier
1447891882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-313074
- Practice address
- 26565 Agoura Rd Ste 200
Calabasas, CA 91302-1990 - Phone
- (800) 998-7042
- NPI assigned
- Oct 7, 2019
- Last updated
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 7552 | OH | |
| Lactation Consultant (Non-RN) | 174N00000X | L-313074 | NU | Primary |
Addresses
Primary practice location
26565 Agoura Rd Ste 200
Calabasas, CA 91302-1990
Mailing address
403 S 1St St
Tipp City, OH 45371-1709
Phone (937) 657-3459
Other practice location 1
403 S 1st St
Tipp City, OH 45371-1709
Phone (937) 657-3459
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7552 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Motion | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1447891882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S 1ST ST",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453711709",
"telephone_number": "937-657-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26565 AGOURA RD STE 200",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021990",
"telephone_number": "800-998-7042"
}
],
"practiceLocations": [
{
"address_1": "403 S 1st St",
"address_purpose": "LOCATION",
"city": "Tipp City",
"state": "OH",
"postal_code": "453711709",
"country_code": "US",
"telephone_number": "937-657-3459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORD",
"first_name": "KRISTIN",
"credential": "RD, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "7552",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NU",
"license": "L-313074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.