AUTUMN WAKE, RN, BSN, IBCLC
NPI 1902365869
Registered Nurse - Lactation Consultant in Las Vegas, NV

NPI Status: Active since March 19, 2019

Contact Information

6970 S CIMARRON RD STE 100
LAS VEGAS, NV
ZIP 89113
Phone: (702) 764-9290
Fax: (702) 473-5383

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  • Organization
  • Registered Nurse
  • Lactation Consultant
  • CLIA Number: 29D2294078
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 11-16-2025

About AUTUMN WAKE, RN, BSN, IBCLC

This page provides the complete NPI Profile along with additional information for Autumn Wake, Rn, Bsn, Ibclc, a provider established in Las Vegas, Nevada operating as a Registered Nurse, focusing in lactation consultant . The healthcare provider is registered in the NPI registry with number 1902365869 assigned on March 2019. The practitioner's primary taxonomy code is 163WL0100X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Autumn Wake, Rn, Bsn, Ibclc. The authorized official of this NPI record is Autumn Wake Rn, Bsn, Ibclc (Owner/practitioner)

NPI
1902365869
Provider Legal Name
ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS
Other Organization Name
AUTUMN WAKE, RN, BSN, IBCLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6970 S CIMARRON RD STE 100 LAS VEGAS, NV 89113
Location Phone
(702) 764-9290
Location Fax
(702) 473-5383
Mailing Address
6970 S CIMARRON RD STE 100 LAS VEGAS, NV 89113
Mailing Phone
(702) 764-9290
Mailing Fax
(702) 473-5383
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2019
Last Update Date
03-20-2019
Code Navigator

A registered nurse (RN) like Autumn Wake, Rn, Bsn, Ibclc coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Registered Nurse Lactation Consultant

Taxonomy Code
163WL0100X
Type
Nursing Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AUTUMN WAKE RN, BSN, IBCLC

Authorized Official Title
OWNER/PRACTITIONER
Authorized Official Phone
(702) 764-9290

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D2294078
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
November 17, 2023
Certificate Expiration Date
November 16, 2025
Laboratory Director
OMID A LESANI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Autumn Wake, Rn, Bsn, Ibclc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902365869, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 6 + 6 + 1 + 0 + 8 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1902365869.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902365869, enumerated as an "organization" on March 19, 2019.

The provider is located at 6970 S CIMARRON RD STE 100 LAS VEGAS, NV 89113 and the phone number is (702) 764-9290.

Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.