Healthcare Provider Details

I. General information

NPI: 1346138260
Provider Name (Legal Business Name): SEBRINA SCHMITTLE IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 E KEMPER RD STE 150
CINCINNATI OH
45241-2394
US

IV. Provider business mailing address

5720 BRAMPTON RD
DAYTON OH
45429-6006
US

V. Phone/Fax

Practice location:
  • Phone: 831-917-9776
  • Fax:
Mailing address:
  • Phone: 831-917-9776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: