THE KINGDOM LIFE MINISTRIES INC. (NPI# 1730696816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730696816 |
| Entity Type | Organization |
| Organization Name | THE KINGDOM LIFE MINISTRIES INC. |
| Other Organization Name | BREASTFEEDING FIXERS AND LEILANI'S WELLNESS CENTER |
| Practice Address |
2667 Camino Del Rio S Ste 201 San Diego CA 92108-3733 |
| Practice Telephone | 7605337953 |
| Practice Fax Number | 6195692676 |
| Mailing Telephone | 7605337953 |
| Mailing Fax Number | 6195692676 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | MRS. LEILANI SONGER (OWNER) |
| Authorized Official Telephone | 6199220808 |
| Authorized Official Credential | IBCLC |
| Is Organization Subpart | Y |
| Parent Organization Name | BREASTFEEDING FIXERS LEILANI'S WELLNESS CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Breastfeeding Fixers and Leilani's Wellness Center | Doing Business As Name - Organization |
| Street Address |
2667 CAMINO DEL RIO S STE 201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689188153 | Leilani Jean Wilde | Lactation Consultant, Non-RN | 2667 Camino Del Rio S Ste 201, San Diego, CA 92108-3733 | 2017-11-20 |
| 1457832990 | Elizabeth Elizondo | Registered Nurse | 2667 Camino Del Rio S Ste 201, San Diego, CA 92108 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922722 | Ashley Elizabeth Tehrani | Lactation Consultant, Non-RN | 3722 Arnold Ave Apt 5, San Diego, CA 92104-3481 | 2020-11-02 |
| 1912538232 | Karina Grant | Lactation Consultant, Non-RN | 6441 Mount Adelbert Dr, San Diego, CA 92111-3228 | 2020-01-27 |
| 1942843818 | Patricia Montserrat Lomeli Medina | Lactation Consultant, Non-RN | 4116 Jackdaw St, San Diego, CA 92103-1332 | 2019-10-23 |
| 1407328800 | Jarrah K Foster | Lactation Consultant, Non-RN | 4116 Mount Hukee Ave, San Diego, CA 92117-4732 | 2018-12-22 |
| 1023506193 | Michelle Meredith Clookie | Lactation Consultant, Non-RN | 714 San Gabriel Pl, San Diego, CA 92109-8032 | 2018-04-24 |
| 1881194553 | Marie Hobden | Lactation Consultant, Non-RN | 5694 Mission Center Rd Ste 602-461, San Diego, CA 92108-4355 | 2018-02-19 |
| 1689188153 | Leilani Jean Wilde | Lactation Consultant, Non-RN | 2667 Camino Del Rio S Ste 201, San Diego, CA 92108-3733 | 2017-11-20 |
| 1194237859 | Virginia Jo Krula | Lactation Consultant, Non-RN | 12453 Heatherton Ct Apt 300, San Diego, CA 92128-5187 | 2017-11-02 |
| 1174920011 | Heather Shabestari | Lactation Consultant, Non-RN | 6089 Madra Ave, San Diego, CA 92120-3943 | 2014-11-20 |
| 1689075988 | Dianne Randall | Lactation Consultant, Non-RN | 4472 Heritage Glen Ln, San Diego, CA 92130-2418 | 2014-09-06 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.