Active NPI
Kailey Jean Warburton, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Twin Falls, ID
National Provider Identifier
1740992056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 67432
- Practice address
- 1574 Clear Creek Loop
Twin Falls, ID 83301-8322 - Phone
- (425) 760-5459
- NPI assigned
- Dec 19, 2022
- 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 | 67432 | ID | Primary |
Addresses
Primary practice location
1574 Clear Creek Loop
Twin Falls, ID 83301-8322
Mailing address
1574 Clear Creek Loop
Twin Falls, ID 83301-8322
Phone (425) 760-5459
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L-309713 | Other | IBCLC | |
| 67432 | Other | ID | REGISTERED NURSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://jane.app | Direct |
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 |
|---|---|---|---|
| 67432 | ID | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mama Coach Kailey LLC | Lactation Consultant | Current | 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 and National Provider Directory roles.
-
- Lactation Consultant (Registered Nurse)
- Twin Falls, ID
- NPI 1366281420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1740992056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1574 CLEAR CREEK LOOP",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833018322",
"telephone_number": "425-760-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1574 CLEAR CREEK LOOP",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833018322",
"telephone_number": "425-760-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARBURTON",
"first_name": "KAILEY",
"middle_name": "JEAN",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "ID",
"license": "67432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBCLC",
"identifier": "L-309713",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "67432",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://jane.app",
"affiliation": "N",
"endpointDescription": "Intake forms, direct communication with clients",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1574 Clear Creek Loop",
"city": "Twin Falls",
"state": "ID",
"country_code": "US",
"postal_code": "833018322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.