IndividualActive
Elizabeth Kicko, WHNP, CNM, PHN
NPI 1982000352 · Women's Health Nurse Practitioner · San Diego, CA
Provider details
- NPI number
- 1982000352
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHNP, CNM, PHN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95001452 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4514 38th Street
San Diego, CA 92105-1108
Phone: (760) 889-0774
Street-level locationGet directions
Mailing address
4514 38th Street
San Diego, CA 92105-1108
Registry dates
- Enumerated
- 2014-11-13
- Last updated
- 2014-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.