Active NPI
Lactation Consultation & Maintaining Wellness, P.S.
- Nursing Care Agency
- Olympia, WA
National Provider Identifier
1164017190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Cassidy, RN, IBCLC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902490949 | Medicaid | WA | |
| 1538717863 | Medicaid | WA | |
| 1942860291 | Medicaid | WA | |
| 1821538208 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.inlactation.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Nurse
- Tumwater, WA
- NPI 1821538208
-
- Naturopath
- Olympia, WA
- NPI 1669674958
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.