Individual provider Active NPI

Kailey Jean Warburton, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Twin Falls, ID
National Provider Identifier
1740992056
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
67432 Issued in ID
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

Updated by the provider on Dec 19, 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 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

IdentifierTypeStateIssuer
L-309713OtherIBCLC
67432OtherIDREGISTERED NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
67432IDMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
The Mama Coach Kailey LLC Lactation Consultant CurrentSince May 26, 2024 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.

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.

Verify at the official NPI Registry.