Organization Active NPI

Lactation Consultation & Maintaining Wellness, P.S.

  • Nursing Care Agency
  • Olympia, WA
National Provider Identifier
1164017190
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
LACTATION CONSULTATION & MAINTAINING WELLNESS, P.S.
Practice address
2120 Pacific Ave SE
Olympia, WA 98506-4753
Phone
(360) 292-5146
Fax
(360) 252-8855
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Cassidy, RN, IBCLCNPI 1821538208
Title
President
Phone
(360) 292-5146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

2120 Pacific Ave SE
Olympia, WA 98506-4753

Mailing address

4026 61St CT SW
Olympia, WA 98512-7028
Phone (360) 292-5146

Other identifiers 4

IdentifierTypeStateIssuer
1902490949MedicaidWA
1538717863MedicaidWA
1942860291MedicaidWA
1821538208MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.inlactation.com Direct

National Provider Directory

National Provider Directory

Locations

2120 Pacific Ave SE
Olympia, WA 98506
Phone (360) 459-7222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1164017190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 61ST CT SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985127028",
            "telephone_number": "360-292-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PACIFIC AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064753",
            "telephone_number": "360-292-5146",
            "fax_number": "360-252-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACTATION CONSULTATION & MAINTAINING WELLNESS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-292-5146",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902490949",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538717863",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942860291",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821538208",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.inlactation.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "2120 Pacific Ave SE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985064753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.