Lakeside Baby LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

LAKESIDE BABY LLC

Practice address

2133 W Woodin Ave Unit 1
Chelan, WA 98816-9309

Phone

(509) 630-1160

Fax

(509) 508-5234

NPI assigned

Dec 31, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Julianne Lane, RN, BSN, IBCLCNPI 1689205239

Title

Owner

Phone

(509) 630-1160

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Julianne Lane

  • Case Manager/Care Coordinator
  • Chelan, WA
  • NPI 1689205239

  Lactation Consultant

  NPD Authorized official

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1245049634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988160501",
            "telephone_number": "509-630-1160",
            "fax_number": "509-508-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 W WOODIN AVE UNIT 1",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988169309",
            "telephone_number": "509-630-1160",
            "fax_number": "509-508-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE BABY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JULIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-630-1160",
        "authorized_official_credential": "RN, BSN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Chelan Clinic, P.C.
• Lake Chelan Pharmacy Inc
• Lake Chelan Physical Therapy, PS
• Lake Chelan School District
• Lakeland Chiropractic Clinic Inc
• Brooke Rose Lane, LMT
• Jennifer Julianne Lane
• Alexandria M Langlow, RN
• James J Larsen, DO
• Nicholas Lemire, MD

• Lactation Consultant (Registered Nurse) in Chelan, WA
• Providers in Chelan, WA by specialty
• Lactation Consultant (Registered Nurse) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.