Lakeside Birth Center LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

LAKESIDE BIRTH CENTER LLC

Practice address

2722 214 Ave East
Lake Tapps, WA 98391-6245

Phone

(253) 862-6533

Fax

(253) 862-1840

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Spencer, LMNPI 1770662728

Title

Owner

Phone

(253) 862-6533

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Spencer, LM

  • Midwife
  • Lake Tapps, WA
  • NPI 1770662728
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285793240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 214 AVE EAST",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983916245",
            "telephone_number": "253-862-6533",
            "fax_number": "253-862-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 214 AVE EAST",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983916245",
            "telephone_number": "253-862-6533",
            "fax_number": "253-862-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE BIRTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-862-6533",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7060452",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Jones, CN
• Sara Ann Joy, LMHC, CDP
• Lucy Key, DDS
• King Pierce DME, Inc
• Lake Tapps Family Medicine, PLLC (Lake Tapps Family Medicine)
• Jessica Lynn Landor, ARNP FNP-C
• Lashes & Massage LLC
• Lacie Lewandowski, PT, DPT
• Ryan J. Lindsey, LICSW, SUDP
• Susan May Llewellyn, P.T.

• Birthing Clinic/Center in Lake Tapps, WA
• Providers in Lake Tapps, WA by specialty
• Birthing Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.