Jennifer Julianne Lane

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

RN00171098 Issued in WA

Practice address

PO Box 501
Chelan, WA 98816-0501

Phone

(509) 630-1160

Fax

(509) 508-5234

NPI assigned

Feb 3, 2020

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

• Jennifer Julianne Grandy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lakeside Baby LLC

  • Lactation Consultant (Registered Nurse)
  • Chelan, WA
  • NPI 1245049634
  NPD Authorized official

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1689205239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988160501",
            "telephone_number": "509-630-1160",
            "fax_number": "509-508-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988160501",
            "telephone_number": "509-630-1160",
            "fax_number": "509-508-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JENNIFER",
        "middle_name": "JULIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "RN00171098",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WA",
            "license": "RN00171098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GRANDY",
            "middle_name": "JULIANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lake Chelan Physical Therapy, PS
• Lake Chelan School District
• Lakeland Chiropractic Clinic Inc
• Lakeside Baby LLC
• Brooke Rose Lane, LMT
• Alexandria M Langlow, RN
• James J Larsen, DO
• Nicholas Lemire, MD
• Lanhua Li
• Susan J Little, ARNP

• Case Manager/Care Coordinator in Chelan, WA
• Providers in Chelan, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.