Active NPI
Kylie Chivington, MT-BC, NICU-MT, NMT
- Contractor
- Lebanon, PA
National Provider Identifier
1922456813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 12202
- Practice address
- 119 S.18TH Street
Lebanon, PA 17042-5011 - Phone
- (717) 468-1684
- NPI assigned
- Jun 1, 2016
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 12202 | FL | Primary |
Addresses
Primary practice location
119 S.18TH Street
Lebanon, PA 17042-5011
Mailing address
2221 Silver LN
Willow Street, PA 17584-9613
Phone (717) 606-2513
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 |
|---|---|---|---|
| 12202 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470528000000",
"number": "1922456813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 SILVER LN",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849613",
"telephone_number": "717-606-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S.18TH STREET",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425011",
"telephone_number": "717-468-1684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIVINGTON",
"first_name": "KYLIE",
"credential": "MT-BC, NICU-MT, NMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2016-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "12202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.