Individual provider Active NPI

Jessica Neubauer, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Pensacola, FL
National Provider Identifier
1417885047
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
930391 Issued in TX
Practice address
545 Brent LN
Pensacola, FL 32503-2003
Phone
(854) 293-3958
NPI assigned
May 13, 2026
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 930391 TX Primary

Addresses

Primary practice location

545 Brent LN
Pensacola, FL 32503-2003

Mailing address

545 Brent LN
Pensacola, FL 32503-2003
Phone (854) 293-3958

Other practice location 1

9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Phone (512) 749-4321

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
930391TXMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1417885047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BRENT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "854-293-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BRENT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "854-293-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9711 Washingtonian Blvd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208785789",
            "country_code": "US",
            "telephone_number": "512-749-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUBAUER",
        "first_name": "JESSICA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "930391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.