{"npi":"1902621980","type":"NPI-2","status":"active","name":{"display":"Lakes Health And Wellness LLC","other":[],"organization_name":"LAKES HEALTH AND WELLNESS LLC","authorised_official":"Ashley Gallina"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"214 WASHINGTON ST STE 1","city":"INGLESIDE","state":"IL","postal_code":"600419208","country_code":"US","phone":"8153632020","fax":"2242251003"},{"purpose":"MAILING","street_1":"112 GOLF VIEW DR","city":"SPRING GROVE","state":"IL","postal_code":"600819024","country_code":"US","phone":"8153632020","fax":"2242251003"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250317000162","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"3173045465"}]},"enumeration_date":"2024-11-15","last_updated":"2025-02-17","_meta":{"source":"NPPES","snapshot_date":"2025-02-17","doc_url":"https://findmynpi.com/api"}}