MEDICARE: CINCINNATI BREASTFEEDING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	163WL0100X	Lactation Consultant (Registered Nurse)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1093450553	OTHER		NPI

General Provider Information

NPI Number	:	1184403727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINCINNATI BREASTFEEDING CENTER

Provider Business Mailing Address
First Line	:	6320 E KEMPER RD STE 150
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2394
Country	:	US
Telephone Number	:	314-614-6043
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 E KEMPER RD STE 150
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2394
Country	:	US
Telephone Number	:	314-614-6043
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VITALIA VARGO ALBERTSON
Credential	:	RN, IBCLC
Telephone Number	:	314-614-6043

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	07/10/2025

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