Individual provider Active NPI

Marion Kimble Kagy, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Laguna Hills, CA
National Provider Identifier
1568170967
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
797942 Issued in CA
Practice address
25255 Cabot Rd Ste 101
Laguna Hills, CA 92653-5507
Phone
(949) 698-9000
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 797942 CA Primary

Addresses

Primary practice location

25255 Cabot Rd Ste 101
Laguna Hills, CA 92653-5507

Mailing address

25255 Cabot Rd Ste 101
Laguna Hills, CA 92653-5507

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marion@breastfeedoc.com The Breastfeeding Center, LLC

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
797942CAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
The Breastfeeding Center, LLC Lactation Consultant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marion@breastfeedoc.com

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1568170967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25255 CABOT RD STE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25255 CABOT RD STE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535507",
            "telephone_number": "949-698-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGY",
        "first_name": "MARION",
        "middle_name": "KIMBLE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "797942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marion@breastfeedoc.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "The Breastfeeding Center, LLC",
            "address_1": "25255 Cabot Rd Ste 101",
            "city": "Laguna Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926535507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.