Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakeside Family Practice

Q: What type of organization is Lakeside Family Practice?

Lakeside Family Practice is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).

Family Nurse Practitioner in Kenosha, WI · enumerated 2018 · authorized official Anthony Hale, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831698430

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeside Family Practice

Practice address 3200 Sheridan Rd Ste 104, Kenosha, WI, 53140

Phone (262) 225-1014

Enumeration date Feb 8, 2018

Last updated in NPPES Feb 8, 2018

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 2011006054 (WI) Primary

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 6190-33 (WI) Secondary

Authorized official

Name Anthony Hale

Title Owner

Phone (262) 225-1014

Other identifiers

Identifier	Type	State	Issuer
100043522	Medicaid	WI	-
100018824	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Lakeside Family Practice?

Lakeside Family Practice is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-02-08.