Stephanie Kristina Nelson, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

176381-30 Issued in WI

Practice address

4246 N 96TH St
Wauwatosa, WI 53222-1531

Phone

(847) 951-9714

NPI assigned

May 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1942945233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 N 96TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221531",
            "telephone_number": "847-951-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 N 96TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221531",
            "telephone_number": "847-951-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEPHANIE",
        "middle_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WI",
            "license": "176381-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Info@successlactation.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4246 N 96th St",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532221531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katharine Nelson Suwalski, DDS
• Anthony Carl Nelson, M.D.
• Melvin Ruthford Nelson, PHD
• Patricia Kay Nelson, APNP
• Shelly R Nelson, LPC, CSW, CSAC
• Mary Ziemer Nervig, LCSW
• Mary E. Ness, M.D.
• Neu Family Dentistry, S.C.
• Suzanne M Neumann, AUD.
• Neurology and Pain Treatment, LTD.

• Lactation Consultant (Registered Nurse) in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Lactation Consultant (Registered Nurse) in Wisconsin

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