Camille Jorgensen, IBCLC
Individual provider Active NPI Lactation Consultant (Non-RN) · Mapleton, UT
NPI 1306661087 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1306661087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L-314354
- Practice address
- 4873 S Poplar Way # B201
Mapleton, UT 84664-5085 - Phone
- (425) 528-6595
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | UT | ||
| Lactation Consultant (Non-RN) | 174N00000X | L-314354 | Yes |
Addresses
Primary practice location
4873 S Poplar Way # B201
Mapleton, UT 84664-5085
Mailing address
4873 S Poplar Way # B201
Mapleton, UT 84664-5085
Phone (425) 528-6595
Other providers in Mapleton, UT
- Eileen Jacobson
- Landon Otto Jarvies
- Joshua Richard Jensen
- Michael Johnson
- Zachary Troy Johnson
- James Lamm
- Maple Mountain Clinic, LLC
- Maple Mountain Dental PLLC Dba Maple Mountain Dentistry
- Maple Mountain Medical LLC
- Maple Mountain Pharmacy Inc
All providers in Mapleton, UT · Lactation Consultant (Non-RN) in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.