Individual provider Active NPI

Janine Paulette Forstie, RN, BSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Phoenix, AZ
National Provider Identifier
1114722550
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-316961 Issued in AZ
Practice address
33009 N 15TH St
Phoenix, AZ 85085-9035
Phone
(480) 272-2693
NPI assigned
Feb 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X L-316961 AZ Primary

Addresses

Primary practice location

33009 N 15TH St
Phoenix, AZ 85085-9035

Mailing address

33009 N 15TH St
Phoenix, AZ 85085-9035
Phone (480) 272-2693

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-316961AZMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1114722550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33009 N 15TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850859035",
            "telephone_number": "480-272-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33009 N 15TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850859035",
            "telephone_number": "480-272-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTIE",
        "first_name": "JANINE",
        "middle_name": "PAULETTE",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "L-316961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.