KRISTIN S LAKE (NPI# 1548209174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548209174 |
| Entity Type | Individual |
| Full Name | KRISTIN S LAKE |
| Other Name | KRISTIN S BIRD |
| Credential | M.D. |
| Practice Address |
500 W Leota St Suite 100 North Platte NE 69101-6576 |
| Practice Telephone | 3085344440 |
| Practice Fax Number | 3085347675 |
| Mailing Telephone | 3085344440 |
| Mailing Fax Number | 3085347675 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
22906 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
500 W LEOTA ST SUITE 100 |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508750 | Byron L. Barksdale | Dermatology | 500 W Leota St, Suite 200, North Platte, NE 69101-6576 | 2005-09-19 |
| 1336537711 | Stacey Coppersmith | Physician Assistant | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2015-01-07 |
| 1053608646 | Emily J Jones | Family Medicine | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2011-07-01 |
| 1518151323 | Susan M Schuckert Md PC | Internal Medicine | 500 W Leota St, Ste 100, North Platte, NE 69101-6576 | 2007-09-05 |
| 1831380740 | Lyndann M Sokolowski | Nurse Practitioner | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2007-08-06 |
| 1962530485 | Internal Medicine Associates of North Platte LLC | Specialist | 500 W Leota St, Suite 150, North Platte, NE 69101-6576 | 2007-02-28 |
| 1821027996 | Natalie Ann Waskowiak | Physician Assistant | 500 W Leota St, Suite 150, North Platte, NE 69101-6576 | 2006-07-01 |
| 1205877636 | Nebraska Sleep Lab LLC | Clinic/Center | 500 W Leota St, Suite 250, North Platte, NE 69101-6576 | 2006-06-09 |
| 1700872504 | F. Lyle Walters Barksdale | Pathology | 500 W Leota St, North Platte, NE 69101-6578 | 2005-09-27 |
| 1326033028 | Delane A Wycoff | Pathology | 500 W Leota St, North Platte, NE 69101-6578 | 2005-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972602126 | The Center for Health LLC | Internal Medicine | 302 S.jeffers St., North Platte, NE 69101 | 2006-09-22 |
| 1568466811 | Loretta L. Baca | Internal Medicine | 302 S Jeffers St, North Platte, NE 69101-5349 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427491778 | Jennifer Medlin | Internal Medicine | 8604 Giles Rd, La Vista, NE 68128-6051 | 2013-04-16 |
| 1417228453 | Abhijeet Shrikrishna Danve | Internal Medicine | 11322 Franklin Plz Apt 915, Omaha, NE 68154-4816 | 2012-01-23 |
| 1710276415 | Melanie Kay Rohr | Internal Medicine | 42 Nd and Emile St, 983025 Unmc, Omaha, NE 68198-0001 | 2011-04-04 |
| 1871793158 | Kearney Arthritis Institute PC | Internal Medicine | 22 W 56th St Ste 107, Kearney, NE 68847-0508 | 2007-07-24 |
| 1174737597 | Rheumatology & Osteoporosis Services, P.C. | Internal Medicine | 1520 S 70th St Ste 200, Lincoln, NE 68506-1566 | 2007-05-09 |
| 1093823437 | Jennifer Rae Elliott | Internal Medicine | 1520 South 70th Street, Suite 200, Lincoln, NE 68506-1566 | 2006-08-27 |
| 1962517060 | Deborah Doud | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2006-08-20 |
| 1760433312 | Vernon Ford Garwood | Internal Medicine | 1520 S 70th St, Suite 200, Lincoln, NE 68506-1566 | 2006-05-16 |
| 1386614907 | Alan Jay Jacobs | Internal Medicine | 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 | 2006-01-25 |
| 1962899088 | Kelsey A Holkesvik | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2015-04-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
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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.