Tana Gargalianos, BSN, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN.390293 Issued in OH

Practice address

1464 Westwood Ave
Lakewood, OH 44107-3702

Phone

(440) 315-9797

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Tana Doty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Lactation LLC

  • Lactation Consultant (Registered Nurse)
  • Lakewood, OH
  • NPI 1043180854
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1174386759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 WESTWOOD AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073702",
            "telephone_number": "440-315-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 WESTWOOD AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073702",
            "telephone_number": "440-315-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGALIANOS",
        "first_name": "TANA",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OH",
            "license": "RN.390293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANA",
            "last_name": "DOTY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Louise Gallo, MPT
• Jennifer Lynn Gangale, RD, LD
• Samuel Gantous, R.N.
• Lauren Cecelia Garczynski
• Christina Gareau, LPCC
• Charles John Garven, MD
• Nicholas Gaumond
• Gentner Chiropractic & Wellness LLC
• John Francis Gentner, D.C.
• Judith Kramer Gentner, D.C.

• Lactation Consultant (Registered Nurse) in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Lactation Consultant (Registered Nurse) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.