Active NPI
Janai Meyer Nutrition and Lactation, LLC
- Clinic/Center
- Ketchikan, AK
National Provider Identifier
1972976967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 10032053
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003924 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
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.