Individual provider Active NPI

Kayla Benado, IBCLC

  • Lactation Consultant (Non-RN)
  • Santa Maria, CA
National Provider Identifier
1952917189
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L152107 Issued in CA
Practice address
4653 California Blvd
Santa Maria, CA 93455-4158
Phone
(805) 890-7989
NPI assigned
Sep 22, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L152107 CA Primary

Addresses

Primary practice location

4653 California Blvd
Santa Maria, CA 93455-4158

Mailing address

4653 California Blvd
Santa Maria, CA 93455-4158
Phone (805) 890-7989

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address benadok@lompocvmc.com Direct Lompoc Valley Medical Center

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

LicenseStateTypeSpecialty
L152107CAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1952917189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 CALIFORNIA BLVD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554158",
            "telephone_number": "805-890-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 CALIFORNIA BLVD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554158",
            "telephone_number": "805-890-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENADO",
        "first_name": "KAYLA",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L152107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benadok@lompocvmc.com",
            "affiliation": "Y",
            "endpointDescription": "Primary work email",
            "affiliationName": "Lompoc Valley Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1515 E Ocean Ave",
            "city": "Lompoc",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934367092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.