Active NPI
Jacquelyn Szalacinski, BSN, RN, IBCLC, CLC
- Lactation Consultant (Registered Nurse)
- Delafield, WI
National Provider Identifier
1316650930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 222576
- Practice address
- W307N1497 Golf Rd Ste 102
Delafield, WI 53018-2112 - Phone
- (262) 204-7574
- NPI assigned
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 222576 | WI | Primary |
Addresses
Primary practice location
W307N1497 Golf Rd Ste 102
Delafield, WI 53018-2112
Mailing address
1380 Orchard Cir
Oconomowoc, WI 53066-6503
Phone (414) 630-5398
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.latchedlakecountry.com | Direct | Latched Lake Country LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222576 | WI | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latched Lake Country LLC | Lactation Consultant | Current | Accepting new patients |
Locations
W307N1497 Golf Rd
Ste 102
Delafield, WI 53018
Phone (262) 204-7574
300 Cottonwood Ave
Ste 9
Hartland, WI 53029
Phone (262) 204-7574
Organizations & group practices 1
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.
-
- Lactation Consultant (Registered Nurse)
- Delafield, WI
- NPI 1023876687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1316650930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 ORCHARD CIR",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530666503",
"telephone_number": "414-630-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W307N1497 GOLF RD STE 102",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182112",
"telephone_number": "262-204-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZALACINSKI",
"first_name": "JACQUELYN",
"credential": "BSN, RN, IBCLC, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "WI",
"license": "222576",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.latchedlakecountry.com",
"affiliation": "Y",
"endpointDescription": "Website",
"affiliationName": "Latched Lake Country LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website",
"address_1": "W307N1497 Golf Rd Ste 102",
"city": "Delafield",
"state": "WI",
"country_code": "US",
"postal_code": "530182112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.