Active NPI
Mary Kacy-Svoboda, BSN,PHN,RN-BC
- Registered Nurse
- Lancaster, CA
National Provider Identifier
1720541196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 587423
- Practice address
- 1600 W Avenue J
Lancaster, CA 93534-2814 - Phone
- (661) 510-2545
- NPI assigned
- Apr 11, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 587423 | CA | Primary |
Addresses
Primary practice location
1600 W Avenue J
Lancaster, CA 93534-2814
Mailing address
43343 Fanchon Ave
Lancaster, CA 93536-5342
Phone (661) 510-2545
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 587423 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1720541196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43343 FANCHON AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935365342",
"telephone_number": "661-510-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342814",
"telephone_number": "661-510-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACY-SVOBODA",
"first_name": "MARY",
"credential": "BSN,PHN,RN-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "587423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.