ELIZABETH C KICKO WHNP, CNM, PHN
NPI 1982000352
Nurse Practitioner - Women's Health in San Diego, CA

Active since November 13, 2014
4514 38TH STREET, SAN DIEGO, CA 92105(760) 889-0774 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth C Kicko Whnp, Cnm, Phn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH C KICKO WHNP, CNM, PHN (NPI 1982000352) is an individual women's health provider in San Diego, California, licensed in California (95001452) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1982000352
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameELIZABETH C KICKOCredential: WHNP, CNM, PHN
Location Address4514 38TH STREETSan Diego, CA 92105-1108
Mailing Address4514 38th StreetSan Diego, CA 92105-1108 · (760) 889-0774
Sole ProprietorYes
Enumeration DateNovember 13, 2014
NPI 1982000352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in CA · 95001452
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 235680 (CA)
4514 38TH STREET, San Diego, CA 92105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Kicko's NPI number?

The NPI number for Elizabeth Kicko is 1982000352. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Elizabeth Kicko located?

Elizabeth Kicko practices at 4514 38th Street, San Diego, CA 92105. The listed phone number is (760) 889-0774.

What is Elizabeth Kicko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Elizabeth Kicko was last updated on November 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.