Lakeisha Grenade-Shoemaker, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

ALPP-310006 Issued in NY

Practice address

2077 Blakeley Rd
East Aurora, NY 14052-9778

Phone

(716) 712-4236

NPI assigned

Feb 25, 2019

Last updated

Feb 25, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1265999452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 BLAKELEY RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529778",
            "telephone_number": "716-712-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 BLAKELEY RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529778",
            "telephone_number": "716-712-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENADE-SHOEMAKER",
        "first_name": "LAKEISHA",
        "credential": "CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "ALPP-310006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Elaine Goodwill, M.A. CCC-SLP
• Andrianette Nicole Gordon, D.D.S.
• Samantha Gorski
• Cheryl Ann Grace, TSHH
• Jillian Joan Green, M.A., CCC-SLP
• Anju Gupta, MD
• Raya Gyourova, M.D.
• Rachael Ann Haker
• Krista Marie Haller, DC
• Robert Hallick, DC

• Lactation Consultant (Non-RN) in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.