Laura Ann Wadsworth Lundquist, MSN, FNP-C, IBCLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6081005 Issued in ID

Practice address

396 Philbin Rd
Pocatello, ID 83202-7071

Phone

(208) 241-1013

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laura W Lundquist Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

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.

• Mother Nurture Lactation Consulting LLC

  • Family Nurse Practitioner
  • Pocatello, ID
  • NPI 1780476457

  Lactation Consultant

  NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1609609072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 PHILBIN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832027071",
            "telephone_number": "208-241-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 PHILBIN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832027071",
            "telephone_number": "208-241-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH LUNDQUIST",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "MSN, FNP-C, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ID",
            "license": "44334",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "6081005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LUNDQUIST",
            "middle_name": "W",
            "credential": "MSN, FNP-C,RN, IBCLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vistec LLC
• Sandra Lyn Vollmer, LMSW
• James Vonbusch, LPC
• Conner James Vrba, LPC, NCC
• Cindy Wade, LCPC
• Marissa Jacqueline Wagner Edmunds
• Kevin Joseph Wagner, DMD
• Christine F Waite, DPT
• Wal-Mart Stores, Inc
• Ananda Walaliyadda, M.D.

• Family Nurse Practitioner in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.