Organization Active NPI

Janai Meyer Nutrition and Lactation, LLC

  • Clinic/Center
  • Ketchikan, AK
National Provider Identifier
1972976967
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10032053 Issued in AK
Legal business name
JANAI MEYER NUTRITION AND LACTATION, LLC
Practice address
130 Carlanna Lake Rd Lowr
Ketchikan, AK 99901-5669
Phone
(907) 220-9920
Fax
(907) 220-9925
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Janai Marie Meyer, RD, IBCLC
Title
Owner
Phone
(907) 220-9920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10032053 AK Primary
Durable Medical Equipment & Medical Supplies 332B00000X 10032053 AK

Addresses

Primary practice location

130 Carlanna Lake Rd Lowr
Ketchikan, AK 99901-5669

Mailing address

130 Carlanna Lake Rd Lowr
Ketchikan, AK 99901-5669
Phone (907) 220-9920

Other identifiers 1

IdentifierTypeStateIssuer
1003924MedicaidAK

National Provider Directory

National Provider Directory

Locations

130 Carlanna Lake Rd
Lowr
Ketchikan, AK 99901
Phone (907) 220-9920

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1972976967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CARLANNA LAKE RD LOWR",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015669",
            "telephone_number": "907-220-9920",
            "fax_number": "907-220-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CARLANNA LAKE RD LOWR",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015669",
            "telephone_number": "907-220-9920",
            "fax_number": "907-220-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANAI MEYER NUTRITION AND LACTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JANAI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-220-9920",
        "authorized_official_credential": "RD, IBCLC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "10032053",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AK",
            "license": "10032053",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003924",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.