Individual provider Active NPI

Jacquelyn Szalacinski, BSN, RN, IBCLC, CLC

  • Lactation Consultant (Registered Nurse)
  • Delafield, WI
National Provider Identifier
1316650930
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
222576 Issued in WI
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

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
222576WIMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Latched Lake Country LLC Lactation Consultant CurrentSince Mar 12, 2024 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.

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.

Verify at the official NPI Registry.