Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Nicole Peterson, OTD, OTR, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1063136000

Jessica Nicole Peterson, OTD, OTR, IBCLC is a Lactation Consultant (Non-RN) in Austin, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1900 Steamboat Springs Cv
Austin, TX 78746-7612
Phone: (737) 235-7730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 114690 (TX)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-319245 (TX)

Record details

NPI number1063136000
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR , IBCLC
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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