Organization Active NPI

Carrie Kim Ibclc

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1841089950
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARRIE KIM IBCLC
Practice address
2000 Vallejo Way
Sacramento, CA 95818-3847
Phone
(209) 559-8681
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carrie Kim, IBCLCNPI 1871307488
Title
Owner
Phone
(209) 559-8681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2000 Vallejo Way
Sacramento, CA 95818-3847

Mailing address

166 Geary St.
Ste 1500 #2793
San Francisco, CA 94108

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1841089950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 GEARY ST.",
            "address_2": "STE 1500 #2793",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VALLEJO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958183847",
            "telephone_number": "209-559-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE KIM IBCLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-559-8681",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.