Organization Active NPI

Lactation Depot LLC

  • Durable Medical Equipment & Medical Supplies
  • Osceola, IN
National Provider Identifier
1700511318
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LACTATION DEPOT LLC
Practice address
10775 McKinley Hwy Ste C
Osceola, IN 46561-9164
Phone
(574) 315-3196
NPI assigned
Jul 18, 2022
Last updated
Nov 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Authorized official

Name
Kristin SzerszenNPI 1306313077
Title
Ceo
Phone
(574) 315-3196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

10775 McKinley Hwy Ste C
Osceola, IN 46561-9164

Mailing address

10275 Peotone Dr
Granger, IN 46530-7744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin@lactationdepot.com

National Provider Directory

National Provider Directory

Locations

10775 McKinley Hwy
Ste C
Osceola, IN 46561
Phone (574) 213-2102

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1700511318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 PEOTONE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10775 MCKINLEY HWY STE C",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465619164",
            "telephone_number": "574-315-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACTATION DEPOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "SZERSZEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-315-3196"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin@lactationdepot.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "10775 McKinley Hwy Ste C",
            "city": "Osceola",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465619164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Osceola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.