Lakeside Family Practice
NPI 1831698430 · Family Nurse Practitioner · Kenosha, WI
Lakeside Family Practice is a Family Nurse Practitioner organization in Kenosha, WI (NPI 1831698430).
Provider details
- NPI number
- 1831698430
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Anthony Hale, Owner(262) 225-1014
- License
- 6190-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-08
- Last updated
- 2018-02-08
Frequently asked questions
- What is Lakeside Family Practice's NPI number?
- Lakeside Family Practice's National Provider Identifier (NPI) is 1831698430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Family Practice?
- Lakeside Family Practice is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lakeside Family Practice located?
- Lakeside Family Practice's practice location on file with NPPES is 3200 Sheridan Rd Ste 104, Kenosha, WI 53140-1921.
- What is Lakeside Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Family Practice is (262) 225-1014.
- Who is the authorized official for Lakeside Family Practice?
- The authorized official listed on Lakeside Family Practice's NPPES record is Anthony Hale, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Family Practice's NPI active?
- Yes — Lakeside Family Practice's NPI (1831698430) is active in the NPPES registry as of the last update on 2018-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.