Individual provider Active NPI

Kira Mittelman

  • Lactation Consultant (Registered Nurse)
  • West Jordan, UT
National Provider Identifier
1548187644
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-315702 Issued in UT
Practice address
1058 W Trimble Creek Dr
West Jordan, UT 84088-9047
Phone
(801) 707-8461
NPI assigned
Jul 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 L-315702 UT Primary

Addresses

Primary practice location

1058 W Trimble Creek Dr
West Jordan, UT 84088-9047

Mailing address

1058 W Trimble Creek Dr
West Jordan, UT 84088-9047

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

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1548187644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 W TRIMBLE CREEK DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 W TRIMBLE CREEK DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889047",
            "telephone_number": "801-707-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELMAN",
        "first_name": "KIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "UT",
            "license": "L-315702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.