Individual provider Active NPI

Jennifer A McColpin, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Portland, OR
National Provider Identifier
1376436063
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
200242539RN Issued in OR
Practice address
4326 NE 76TH Ave
Portland, OR 97218-3952
Phone
(503) 807-4140
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 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) 163WL0100X 200242539RN OR Primary

Addresses

Primary practice location

4326 NE 76TH Ave
Portland, OR 97218-3952

Mailing address

4326 NE 76TH Ave
Portland, OR 97218-3952
Phone (503) 807-4140

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
200242539RNORMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1376436063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 NE 76TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972183952",
            "telephone_number": "503-807-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 NE 76TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972183952",
            "telephone_number": "503-807-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLPIN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "200242539RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.