Heidi Christina Kim, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-307740

Practice address

875 N Greenfield Rd Ste 101
Gilbert, AZ 85234-5044

Phone

(602) 295-0796

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1942931779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30113 N SUNRAY DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851437524",
            "telephone_number": "602-295-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N GREENFIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345044",
            "telephone_number": "602-295-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEIDI",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-307740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Loiuse Kilbourne, CRNA
• Mikaylah Kilgus
• Annie Giang Kim, DNP, CNM
• Charles Min Kim, MD
• Hack Jae Kim, M.D.
• Ji Yong Kim, CNIM, R. EP. T.
• Stephanie Robyn Kimberly, LPC
• Alicia Marie Kimura, APRN, FNP
• Andrew Peter Philip Kinahan, MD
• Spencer Kincheloe

• Lactation Consultant (Non-RN) in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Lactation Consultant (Non-RN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.