Active NPI
Kirstien Annette Parks, IBCLC
- Lactation Consultant (Registered Nurse)
- Yukon, OK
National Provider Identifier
1831974096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-311304
- Practice address
- 9624 Saddle Drive
Yukon, OK 73069 - Phone
- (918) 639-6724
- NPI assigned
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- No
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-311304 | OK | Primary |
Addresses
Primary practice location
9624 Saddle Drive
Yukon, OK 73069
Mailing address
9624 Saddle Dr
Yukon, OK 73099
Phone (918) 639-6724
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-311304 | OK | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1831974096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9624 SADDLE DR",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "918-639-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9624 SADDLE DRIVE",
"city": "YUKON",
"state": "OK",
"postal_code": "73069",
"telephone_number": "918-639-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "KIRSTIEN",
"middle_name": "ANNETTE",
"credential": "IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "OK",
"license": "L-311304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.