Individual provider Active NPI

Katy Skarlatos, CPM

  • Midwife
  • Wauwatosa, WI
National Provider Identifier
1336531359
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
161-49 Issued in WI
Practice address
530 N 108TH PL Ste 100
Wauwatosa, WI 53226-4253
Phone
(414) 231-9640
Fax
(414) 226-5078
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 161-49 WI Primary

Addresses

Primary practice location

530 N 108TH PL Ste 100
Wauwatosa, WI 53226-4253

Mailing address

530 N 108TH PL Ste 100
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

State licenses

LicenseStateTypeSpecialty
161-49WIMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Midwives LLC Midwife Current Accepting new patients
Authentic Birth Center Wellness Collective LLC Current Accepting new patients

Locations

530 N 108th Pl
Ste 100
Wauwatosa, WI 53226
Phone (414) 231-9640

Organizations & group practices 2

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": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1336531359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL STE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-231-9640",
            "fax_number": "414-226-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL STE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-231-9640",
            "fax_number": "414-226-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARLATOS",
        "first_name": "KATY",
        "credential": "CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "161-49",
            "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 Dec 19, 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.