Marianne Kmak, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

0091589 Issued in CO

Practice address

8200 S Quebec St
A-12
Centennial, CO 80112-4411

Phone

(303) 741-2550

Fax

(720) 230-4898

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Kmak Breastfeeding Support Service LLC

  • Lactation Consultant (Registered Nurse)
  • Centennial, CO
  • NPI 1083049100
  NPD (past) Authorized official

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1922345685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 S IVY WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121509",
            "telephone_number": "720-219-2994",
            "fax_number": "720-230-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S QUEBEC ST",
            "address_2": "A-12",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124411",
            "telephone_number": "303-741-2550",
            "fax_number": "720-230-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMAK",
        "first_name": "MARIANNE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CO",
            "license": "0091589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN, IBCLC",
            "identifier": "163WL0100X",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Klausmeyer, D.M.D.
• David Michael Kleim, O.D.
• Michelle Ramos Kleman, MA, LPC, CSP
• Breanne Lynn Kline, PSYD
• Kmak Breastfeeding Support Service LLC
• Holly Knapp, DPT
• Lindsey Knapp, RDN
• Christina Marie Knight, MA, LPC
• Mark Paul Knippenberg, L.C.S.W.
• Gretchen Knipshild

• Lactation Consultant (Registered Nurse) in Centennial, CO
• Providers in Centennial, CO by specialty
• Lactation Consultant (Registered Nurse) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.