Lakes Health and Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LAKES HEALTH AND WELLNESS LLC

Practice address

7227 State Park Rd
Fox Lake, IL 60020-1027

Phone

(815) 363-2020

Fax

(949) 703-8263

NPI assigned

Nov 15, 2024

Organization subpart

No

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

Authorized official

Name

Ashley Rae Gallina, FNP-C, CNMNPI 1619667656

Title

FNP-C, CNM

Phone

(815) 363-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Rae Gallina, APRN, CNM, FNP-C

  • Family Nurse Practitioner
  • Fox Lake, IL
  • NPI 1619667656

  Family, IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1902621980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 STATE PARK RD",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201027",
            "telephone_number": "815-363-2020",
            "fax_number": "949-703-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 STATE PARK RD",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201027",
            "telephone_number": "815-363-2020",
            "fax_number": "949-703-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "GALLINA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "FNP-C, CNM",
        "authorized_official_telephone_number": "815-363-2020",
        "authorized_official_credential": "FNP-C, CNM"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Kaether, MS, LCPC
• Kristine S Kahn, PT
• Jorid Keri, PHARM D
• Allison Kriegler, OTR/L
• Lake Optical, Inc.
• John Leuthner, M.D.
• Dennis Lewinson, O.D.
• Kathlyn Long, CADC
• Nadejda Losseva
• Lynn M. Maloney, DPT

• Family Nurse Practitioner in Fox Lake, IL
• Providers in Fox Lake, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.