Jessica Rachelle Broom, OTR
NPI 1962745364ActiveIndividual· Lactation Consultant, Non-RN· Newark, TX
Lactation Consultant, Non-RN (OTR) in Newark, Texas, licensed in TX, with an NPI issued in April 2013.
Overview
| NPI | 1962745364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | Yes |
| NPI issued | Apr 3, 2013 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Lactation Consultant, Non-RN Primary | 174N00000X | — | TX |
| Occupational Therapist, Pediatrics | 225XP0200X | 119420 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Lactation Consultant, Non-RN providers in Newark
- 1417505306