DAVID R LAKE (NPI# 1003113820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003113820 |
| Entity Type | Individual |
| Full Name | DAVID R LAKE |
| Credential | ATC |
| Practice Address |
8917 S 77th St Franklin WI 53132-9784 |
| Practice Telephone | 4146983730 |
| Mailing Telephone | 4146983730 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154853430 | David Lake | Student in an Organized Health Care Education/Training Program | 212 Carlisle Ave, St Matthews, SC 29135-1217 | 2017-03-28 |
| 1285969402 | David Alan Lake | Psychiatry & Neurology | 550 Hamilton Ave Ste 202, Palo Alto, CA 94301-2030 | 2009-10-06 |
| 1245306158 | David Farrington Lake | Nurse Practitioner | 171 Pleasant St, Suite 101, Concord, NH 03301-2547 | 2006-11-24 |
| Street Address |
8917 S 77TH ST |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-9784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547678 | Janelle Arianna Abarca | Specialist/Technologist | 2087 Acorn Blvd Lowr Level, Franklin, IN 46131-7306 | 2020-01-23 |
| 1548807746 | Noah Glenn Cowles | Specialist/Technologist | 1404 Pittsburgh Rd, Franklin, PA 16323-2027 | 2019-12-06 |
| 1174168835 | Hannah K Zingale | Specialist/Technologist | 263 Seaboard Ln Ste 200, Franklin, TN 37067-4878 | 2019-11-16 |
| 1295397347 | Reesa Anne Boyce | Specialist/Technologist | 105 Wayah St, Franklin, NC 28734-3330 | 2019-06-28 |
| 1720647878 | Gary Lynn Rigg | Specialist/Technologist | 108 Wayah St, Franklin, NC 28734-3331 | 2019-06-12 |
| 1447718085 | Savanna Rachelle Hurst | Specialist/Technologist | 491 Wilson Rd, Franklin, TX 77856-3691 | 2019-03-02 |
| 1235614645 | Adeline Holzman | Specialist/Technologist | 1110 Stonebridge Park Dr, Franklin, TN 37069-4020 | 2018-10-02 |
| 1306352513 | Thomas A Bender | Specialist/Technologist | 1211 Habersham Way, Franklin, TN 37067-8524 | 2017-12-26 |
| 1255845954 | Brittany Hillyer | Specialist/Technologist | 206 Bedford Way # Wat, Franklin, TN 37064-5526 | 2017-11-17 |
| 1821512500 | Cameron Greene | Specialist/Technologist | 198 Cemetery Hill Rd., Franklin, IN 46131 | 2017-08-03 |
| Find all providers in FRANKLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.