JESSICA BLAIR SIMANDJUNTAK RN, IBCLC
NPI 1508717216
Registered Nurse - Lactation Consultant in Redlands, CA

Active since February 07, 2026
1331 BARTON RD, REDLANDS, CA 92373(909) 572-8280 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Feb 7, 2026 (2 updates tracked since 2026).

About Jessica Blair Simandjuntak Rn, Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BLAIR SIMANDJUNTAK RN, IBCLC (NPI 1508717216) is an individual lactation consultant provider in Redlands, California, licensed in California (L-308269) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1508717216
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameJESSICA BLAIR SIMANDJUNTAKCredential: RN, IBCLC
Location Address1331 BARTON RDRedlands, CA 92373-1487
Mailing Address1331 Barton RdRedlands, CA 92373-1487 · (909) 572-8280
Sole ProprietorNo
Enumeration DateFebruary 7, 2026
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1508717216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
Licenses Licensed in CA · L-308269 Licensed in CA · 95176001
Also ListedDoulaTaxonomy 374J00000X
1331 BARTON RD, Redlands, CA 92373

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1331 BARTON RD
REDLANDS, CA 92373
Occupational Therapist
1331 BARTON RD
REDLANDS, CA 92373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Simandjuntak's NPI number?

The NPI number for Jessica Simandjuntak is 1508717216. It was assigned to this individual provider in the NPPES registry on February 7, 2026.

Where is Jessica Simandjuntak located?

Jessica Simandjuntak practices at 1331 Barton Rd, Redlands, CA 92373. The listed phone number is (909) 572-8280.

What is Jessica Simandjuntak's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Lactation Consultant, with taxonomy code 163WL0100X.

When was this NPI record last updated?

The NPPES record for Jessica Simandjuntak was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.