Active NPI
Dana Monticelli, RN, BSN, IBCLC
- Lactation Consultant (Registered Nurse)
- Wauwatosa, WI
National Provider Identifier
1124705355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L307362
- Practice address
- 530 N 108TH PL
Wauwatosa, WI 53226-4253 - Phone
- (414) 231-9640
- NPI assigned
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L307362 | WI | Primary |
Addresses
Primary practice location
530 N 108TH PL
Wauwatosa, WI 53226-4253
Mailing address
530 N 108TH PL
Wauwatosa, WI 53226-4253
Phone (414) 231-9640
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
| License | State | Type | Specialty |
|---|---|---|---|
| L307362 | WI | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisco Lactation LLC | Lactation Consultant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1124705355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N 108TH PL",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264253",
"telephone_number": "414-231-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N 108TH PL",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264253",
"telephone_number": "414-231-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTICELLI",
"first_name": "DANA",
"credential": "RN, BSN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "WI",
"license": "L307362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.