Active NPI
Lactation Depot LLC
- Durable Medical Equipment & Medical Supplies
- Osceola, IN
National Provider Identifier
1700511318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Szerszen
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristin@lactationdepot.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Lactation Consultant (Non-RN)
- Osceola, IN
- NPI 1306313077
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.