LACTATION CONSULTATION & MAINTAINING WELLNESS P.S. NPI 1164017190

NPI Information

NPI: 1164017190
Provider Name: LACTATION CONSULTATION & MAINTAINING WELLNESS, P.S.
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
2120 PACIFIC AVE SE
OLYMPIA, WA
ZIP 98506
Phone: (360) 292-5146
Get Directions

LACTATION CONSULTATION & MAINTAINING WELLNESS, P.S. is a nursing care in Olympia, WA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. LACTATION CONSULTATION & MAINTAINING WELLNESS, P.S. NPI is 1164017190. The provider is registered as an organization entity type.

The provider's business location address is:

2120 PACIFIC AVE SE
OLYMPIA, WA
ZIP 98506-753
Phone: (360) 292-5146
Fax: (360) 252-8855

The provider's authorized official is Sarah Cassidy .
The authorized official title is President and has the following contact phone number (360) 292-5146.

The enumeration date for this NPI number is 3/2/2021 and was last updated on 3/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	252Y00000X	Early Intervention Provider Agency		No
2	253Z00000X	In Home Supportive Care		No
3	261Q00000X	Clinic/Center		No
4	261QH0100X	Clinic/Center	Health Service	No
5	251J00000X	Nursing Care		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1538717863	MEDICAID	WASHINGTON
2	1821538208	MEDICAID	WASHINGTON
3	1902490949	MEDICAID	WASHINGTON
4	1942860291	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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