AMY JEAN LAKE (NPI# 1265098511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265098511 |
| Entity Type | Individual |
| Full Name | AMY JEAN LAKE |
| Practice Address |
118 E Haskell St Winnemucca NV 89445-3247 |
| Practice Telephone | 7756235222 |
| Mailing Telephone | 7756235222 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | 76256 | NV | Emergency Medical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 118 E Haskell St, Winnemucca, NV 894453247 | 7756235222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366970261 | Amy Lake | Dietitian, Registered | 220 Alameda Padre Serra, Santa Barbara, CA 93103-2806 | 2017-05-23 |
| 1962966341 | Amy Lake | Registered Nurse | 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256-1774 | 2019-01-30 |
| 1609354943 | Amy Lake | Speech-Language Pathologist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2018-07-30 |
| 1750645628 | Amy Lake | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2012-06-26 |
| 1518011402 | Amy R Lake | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2007-01-22 |
| Street Address |
118 E HASKELL ST |
| City | WINNEMUCCA |
| State | NV |
| Zip Code | 89445-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861490559 | Robert Grierson Leckie | Radiology | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2005-07-07 |
| 1811537012 | Thomas Lamar Mouritsen | Nurse Anesthetist, Certified Registered | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2020-01-15 |
| 1396388419 | Tina Carbone | Nurse Practitioner | 118 E Haskell St, Winnemucca, NV 89445-3299 | 2019-10-21 |
| 1194378208 | Vision Consultants | Optometrist | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2019-07-17 |
| 1043876881 | Gricelda Jeanette Soto | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3299 | 2019-05-17 |
| 1265095632 | Robert Rives | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3299 | 2019-04-20 |
| 1689130403 | Jennifer Rosann Lewis | Nurse's Aide | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2019-02-17 |
| 1225529415 | Silver L Nichols | Emergency Medical Technician, Paramedic | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2018-05-23 |
| 1205326824 | Justin Irvin | Emergency Medical Technician, Paramedic | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2018-05-18 |
| 1518456391 | Stephanie Huseboe | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386202398 | Marie Stone | Behavior Technician | 7430 Sunflower Ct, Winnemucca, NV 89445 | 2019-06-04 |
| 1174010052 | Joseph Ricioli | Student in an Organized Health Care Education/Training Program | Humboldt General Hospital, 118 East Haskell Street, Winnemucca, NV 89445 | 2018-04-17 |
| 1144768573 | Northern Nevada Eyecare Ltd | Optometrist | 50 E Haskell St Suite A, Winnemucca, NV 89445 | 2017-02-06 |
| 1942653449 | Michael Cogsdill | Community Health Worker | 118 East Haskell Streey, Winnemucca, NV 89445 | 2016-07-20 |
| 1861534240 | Susan Louise Jancar | Dentist | 50 E Haskell St, Winnemucca, NV 89445 | 2007-02-13 |
| 1790833275 | Jennifer J Hood | Marriage & Family Therapist | 51 E Haskell St, Ste A, Winnemucca, NV 89445 | 2007-01-08 |
| 1881762409 | Charles Adnan Stringham | Internal Medicine | 51 E Haskell Street, Suite A, Winnemucca, NV 89445 | 2006-12-01 |
| 1255343174 | James Maurice Langevin | Surgery | 118 E Haskell St Ste D, Winnemucca, NV 89445 | 2006-08-12 |
| 1780211680 | Mich Andrew Gehrig Jr. | Student in an Organized Health Care Education/Training Program | Humboldt General Hospital, 118 East Haskell St, Winnemucca, NV 89445 | 2020-03-23 |
| 1457543712 | Dan W Debonis Dds Ltd | Dentist | 530 Melarkey St, Winnemucca, NV 89445 | 2007-08-10 |
| Find all providers in zip 89445 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043876881 | Gricelda Jeanette Soto | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3299 | 2019-05-17 |
| 1265095632 | Robert Rives | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3299 | 2019-04-20 |
| 1518456391 | Stephanie Huseboe | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2018-05-07 |
| 1578064705 | Sean Michael Burke | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2018-02-22 |
| 1053761692 | Fergus John Laughridge Sr. | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851752109 | Cassandra Darrough | Emergency Medical Technician, Intermediate | 104 Sr-447, Nixon, NV 89424-0256 | 2016-03-15 |
| 1235484262 | Merry Christine Trujillo | Emergency Medical Technician, Intermediate | 20 Olavarria Street, Mc Dermitt, NV 89421-0297 | 2012-07-16 |
| 1811105687 | Michelle L Harden | Emergency Medical Technician, Intermediate | 1616 Connolly Dr, Elko, NV 89801-4773 | 2007-05-17 |
| 1992327142 | Mary Longero | Emergency Medical Technician, Intermediate | 18600 Wedge Pkwy, Reno, NV 89511-3036 | 2020-05-11 |
| 1407493141 | Mt Grant General Hospital | Emergency Medical Technician, Intermediate | 200 South A Street, Hawthorne, NV 89415-1510 | 2019-12-02 |
| 1447749627 | Charles Frank Mann Iv | Emergency Medical Technician, Intermediate | 200 South A Street, Hawthorne, NV 89415 | 2018-05-03 |
| 1407345713 | Myra Kay Wall | Emergency Medical Technician, Intermediate | 535 S Humboldt St, Battle Mountain, NV 89820-1988 | 2018-05-02 |
| 1053800367 | Amy Marie Dodge | Emergency Medical Technician, Intermediate | 213 S Whitacre St, Yerington, NV 89447-2561 | 2018-05-02 |
| 1962991273 | Rodney L Gamble | Emergency Medical Technician, Intermediate | 1500 Avenue H, Ely, NV 89301-2615 | 2018-05-02 |
| 1003362880 | Travis Walker | Emergency Medical Technician, Intermediate | 1025 Hospital Road, Schurz, NV 89427 | 2016-08-31 |
| Find all providers with the same taxonomy | ||||
| City | WINNEMUCCA |
| Zip Code | 89445 |
Please comment or provide details below to improve the information on AMY JEAN LAKE.
| 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.