Jessica Bustamente, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-303919

Practice address

1806 Edgecumbe Dr
Sitka, AK 99835-9614

Phone

(360) 775-8623

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1356076533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 EDGECUMBE DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359614",
            "telephone_number": "360-775-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 EDGECUMBE DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359614",
            "telephone_number": "360-775-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMENTE",
        "first_name": "JESSICA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-303919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Brushafer, M.D.
• Carol Jeanne Bryant
• Angi Buchman
• George A Burnstein Jr., R.N.
• Sarah Bushyhead
• Angela L Butler
• Elizabeth Butler
• Marjorie Esther Butler, HS3
• Josephine Bygrave
• Maricel Caalim

• All providers in Sitka, AK
• Lactation Consultant (Non-RN) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.