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LAKESIDE FAMILY PRACTICE
NPI 1831698430
Nurse Practitioner - Family in Kenosha, WI

Active since February 08, 2018
3200 SHERIDAN RD STE 104, KENOSHA, WI 53140(262) 225-1014 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Family Practice NPPES

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

LAKESIDE FAMILY PRACTICE (NPI 1831698430) is a healthcare organization registered as a family in Kenosha, Wisconsin and active in the NPI registry since February 2018. The organization lists Anthony Hale, Owner, as its authorized official.

NPPES Registry Identity

NPI1831698430
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLAKESIDE FAMILY PRACTICE
Location Address3200 SHERIDAN RD STE 104Kenosha, WI 53140-1921
Mailing Address2113 Tallgrass CirWaukesha, WI 53188-2606 · (262) 225-1014
Phone(262) 225-1014
Organization SubpartNo
Authorized OfficialAnthony HaleOwner · (262) 225-1014
Enumeration DateFebruary 8, 2018
✔ NPI 1831698430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 2011006054
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 6190-33 (WI)
3200 SHERIDAN RD STE 104, Kenosha, WI 53140
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Other Identifiers 2

Medicaid100043522WI
Medicaid100018824WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 6

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

MRS. KIMBERLY ANN OLEKSAK MSCC, LPC
Counselor (Mental Health)
3200 SHERIDAN RD STE 104
KENOSHA, WI 53140
Kenosha County (262) 997-9411
ALEXANDRIA FRANCIS LPC-IT
Counselor (Professional)
3200 SHERIDAN RD STE 104
KENOSHA, WI 53140
Kenosha County (262) 997-9411
SACRED ART COUNSELING, LLC
Community/Behavioral Health
3200 SHERIDAN RD STE 104
KENOSHA, WI 53140
Kenosha County (262) 358-8602
KARI KELLAR LPC-IT
Counselor (Professional)
3200 SHERIDAN RD STE 104
KENOSHA, WI 53140
Kenosha County (262) 997-9411
LOUISE A SCHAEFER LPC-IT, SAC-IT
Counselor (Professional)
3200 SHERIDAN RD STE 104
KENOSHA, WI 53140
Kenosha County (262) 997-9411
THRIVE THERAPY SERVICES LLC
Community/Behavioral Health
3200 SHERIDAN RD STE 104
KENOSHA, WI 53140
Kenosha County (262) 997-9411

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 Lakeside Family Practice's NPI number?

The NPI number for Lakeside Family Practice is 1831698430. It was assigned to this organization in the NPPES registry on February 8, 2018.

Where is Lakeside Family Practice located?

Lakeside Family Practice is located at 3200 Sheridan Rd Ste 104, Kenosha, WI 53140. The listed phone number is (262) 225-1014.

What is Lakeside Family Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Lakeside Family Practice accept?

Health plans from Anthem Blue Cross and Blue Shield list Lakeside Family Practice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Family Practice was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.