INTEGRATIVE MEDICINE LAKE COUNTRY, LLC
NPI 1235945346
Clinic/Center - Medical Specialty in Hartland, WI

Active since December 04, 2024
138 NORTH AVE STE 4, HARTLAND, WI 53029(262) 256-3020 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrative Medicine Lake Country, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE MEDICINE LAKE COUNTRY, LLC (NPI 1235945346) is a healthcare organization registered as a medical specialty in Hartland, Wisconsin and active in the NPI registry since December 2024. The organization lists Jamie Kaminski, Owner, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1235945346
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameINTEGRATIVE MEDICINE LAKE COUNTRY, LLC
Location Address138 NORTH AVE STE 4Hartland, WI 53029-1725
Mailing Address138 North Ave Ste 4Hartland, WI 53029-1725 · (262) 256-3020
Organization SubpartNo
Authorized OfficialJamie KaminskiOwner, Nurse Practitioner · (262) 256-3020
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
NPI 1235945346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
138 NORTH AVE STE 4, Hartland, WI 53029

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
138 NORTH AVE STE 4
HARTLAND, WI 53029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrative Medicine Lake Country, LLC's NPI number?

The NPI number for Integrative Medicine Lake Country, LLC is 1235945346. It was assigned to this organization in the NPPES registry on December 4, 2024.

Where is Integrative Medicine Lake Country, LLC located?

Integrative Medicine Lake Country, LLC is located at 138 North Ave Ste 4, Hartland, WI 53029. The listed phone number is (262) 256-3020.

What is Integrative Medicine Lake Country, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Integrative Medicine Lake Country, LLC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.