Kyrstye Bree Ann Bicera, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-313254 Issued in CA

Practice address

4960 Cedarbrook LN
Riverside, CA 92504-1768

Phone

(951) 214-9347

NPI assigned

Jan 7, 2025

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1679383236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 CEDARBROOK LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041768",
            "telephone_number": "951-214-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 CEDARBROOK LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041768",
            "telephone_number": "951-214-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICERA",
        "first_name": "KYRSTYE",
        "middle_name": "BREE ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95025579",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "L-313254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasneem Bholat
• Amardip S. Bhuller, M.D.
• Nick Salazar Biala
• Shyanne Jena Bianchi, PHARM D
• Leah Bibler
• Jeff Biddle, DOCTORATE
• Big Bear Recovery Center
• Hayley Bigelow
• Kyle Bigos, RBT
• Jeffrey J. Bilhorn, CRNA

• Lactation Consultant (Registered Nurse) in Riverside, CA
• Providers in Riverside, 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 Jan 7, 2025; 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.