Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Psychiatry & Wellness

Organization Family Nurse Practitioner · NPI 1093635682

Lakeshore Psychiatry & Wellness is a Family Nurse Practitioner in Gary, Indiana. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

201 E 5th Ave Ste A
Gary, IN 46402-1300
Phone: (219) 791-3512
Fax: (877) 349-7157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1093635682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Channae Watkins — Pmhnp · (219) 791-3512
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address201 E 5th Ave Ste A, Gary, IN 46402-1300

Other providers in Gary