Individual provider Active NPI

Jasmine Alexandria Ortin, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Wauwatosa, WI
National Provider Identifier
1912737586
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
224190 Issued in WI
Practice address
530 N 108TH PL Ste 203
Wauwatosa, WI 53226-4253
Phone
(414) 249-4420
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 224190 WI Primary

Addresses

Primary practice location

530 N 108TH PL Ste 203
Wauwatosa, WI 53226-4253

Mailing address

157 Walton Ave
Waukesha, WI 53186-5903
Phone (248) 709-8339

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
224190WIMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Wisco Lactation LLC Lactation Consultant CurrentSince Mar 24, 2025 Accepting new patients

Locations

530 N 108th Pl
Ste 203
Wauwatosa, WI 53226
Phone (414) 249-4420

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1912737586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WALTON AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865903",
            "telephone_number": "248-709-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL STE 203",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-249-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIN",
        "first_name": "JASMINE",
        "middle_name": "ALEXANDRIA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WI",
            "license": "224190",
            "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 Aug 7, 2024; 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.