Gabrielle A Kudrnka, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

283302

Practice address

5182 Cabanne Ave
Saint Louis, MO 63113-1611

Phone

(314) 482-9900

NPI assigned

Mar 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1851895569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5182 CABANNE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131611",
            "telephone_number": "314-482-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 CABANNE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131611",
            "telephone_number": "314-482-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDRNKA",
        "first_name": "GABRIELLE",
        "middle_name": "A",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "283302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kubik, DDS
• Abigail Kuborn, OD
• Amir Kucharski, MD, PHD
• Abigayle Kuchno, PHARMD
• Thomas Patrick Kuciejczyk-Kernan, M.D.
• Joy Kuebee
• Richard J Kuebel, MD
• Colleen Kuehl, LPC
• Taylor June Kuehl, ATC, LAT
• Anita Kay Kuehlem-Doroghazi, LCPC

• Lactation Consultant (Non-RN) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Lactation Consultant (Non-RN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.