Active NPI
Mary Kay Rybiski, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Kyle, TX
National Provider Identifier
1649894247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-30572
- Practice address
- 360 Waterloo Dr
Kyle, TX 78640-6554 - Phone
- (419) 512-7131
- NPI assigned
- May 31, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-30572 | TX | Primary |
Addresses
Primary practice location
360 Waterloo Dr
Kyle, TX 78640-6554
Mailing address
261 Clifton Blvd
Mansfield, OH 44907-2468
Phone (419) 512-7131
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-30572 | TX | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590883200000",
"number": "1649894247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 CLIFTON BLVD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072468",
"telephone_number": "419-512-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 WATERLOO DR",
"city": "KYLE",
"state": "TX",
"postal_code": "786406554",
"telephone_number": "419-512-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYBISKI",
"first_name": "MARY",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-31",
"last_updated": "2020-05-31",
"certification_date": "2020-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "TX",
"license": "L-30572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.