KATIE R. LAKE (NPI# 1669790200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669790200 |
| Entity Type | Individual |
| Full Name | KATIE R. LAKE |
| Other Name | KATIE R. CHEFF |
| Practice Address |
308 Mission Drive St Ignatius MT 59864 |
| Mailing Address |
P.o. Box 880 St Ignatius MT 59865 |
| Practice Telephone | 4067453575 |
| Practice Fax Number | 4067454233 |
| Mailing Telephone | 4067453525 |
| Mailing Fax Number | 4067454233 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 2969 | MT | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780939728 | Katie Lake | Occupational Therapist | 176 Harts Ford Way, Brownsburg, IN 46112-8133 | 2012-07-16 |
| Street Address |
308 MISSION DRIVE |
| City | ST IGNATIUS |
| State | MT |
| Zip Code | 59864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013190644 | Brenda Morton | Registered Nurse | 308 Mission Drive, St Ignatius, MT 59865 | 2007-12-05 |
| 1811179799 | Thomas Vernon Christensen | Dental Hygienist | 308 Mission Drive, St Ignatius, MT 59865 | 2007-12-03 |
| 1942499843 | Alvin Eugene Arneson | Pharmacist | 308 Mission Drive, St Ignatius, MT 59865 | 2007-10-17 |
| 1235258609 | Dorene Ruth Vallee | Registered Nurse | 308 Mission Drive, St Ignatius, MT 59865 | 2007-03-28 |
| 1215056692 | Lisa Marie Allard | Pharmacist | 308 Mission Drive, St Ignatius, MT 59865 | 2007-03-28 |
| 1295854651 | Shawn Patrick Matt | Pharmacy Technician | 308 Mission Drive, St Ignatius, MT 59865 | 2007-03-28 |
| 1457488199 | Steven Alexander Buffalo | Counselor | 308 Mission Drive, St Ignatius, MT 59865 | 2007-02-28 |
| 1548303308 | Kim M Azure | Counselor | 308 Mission Drive, St Ignatius, MT 59865 | 2007-02-14 |
| 1508904905 | Ann Marie Penturf | Dentist | 308 Mission Drive, St Ignatius, MT 59865 | 2007-02-01 |
| 1558407296 | Nancy R Grant | Licensed Practical Nurse | 308 Mission Drive, St Ignatius, MT 59865 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437676566 | Kristin A. Murphy | Registered Nurse | 35860 Round Butte Rd., Ronan, MT 59864 | 2017-08-29 |
| 1477906725 | Richard A Greene IIi | Counselor | 407 Main St Sw, Ronan, MT 59864 | 2016-07-21 |
| 1134592942 | Sancee Leigh Heaton | Massage Therapist | 41064 Us Hwy93 Frontage Rd, Ronan, MT 59864 | 2015-11-03 |
| 1700160033 | Rosemary Epperson | Social Worker | 1313 Us-93, Ronan, MT 59864 | 2011-10-05 |
| 1700109790 | Cyndi Lu Marengo | Dental Hygienist | 380 Mission Drive, St. Ignatius, MT 59864 | 2010-03-05 |
| 1841335973 | Katherine Stacy Kiser | Counselor | 530 Highway 93 South, Ronan, MT 59864 | 2007-02-20 |
| 1376682351 | Stanley Houston Fleming | Counselor | 30 Round Butte Road West, Ronan, MT 59864 | 2007-02-06 |
| 1255477907 | Vanessa Anne Courville | Registered Nurse | 28 Round Butte Rd, Ronan, MT 59864 | 2007-01-29 |
| 1114074903 | Robert Duane Gerrie | Surgery | # 6 Thirteenth Ave. E., Polson, MT 59864 | 2007-01-04 |
| 1740341189 | Eleanore R Hobbs | Psychiatry & Neurology | 126 6th Ave. Sw, St. Luke Community Clinci Ronan, Ronan, MT 59864 | 2006-12-12 |
| Find all providers in zip 59864 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578956769 | Rocky Hayes | Radiologic Technologist | 3821 England Blvd, Missoula, MT 59808-5667 | 2015-03-11 |
| 1881996460 | Brenda Lee Henry | Radiologic Technologist | 107 H. St, Verne.e Gibbs Health Center, Poplar, MT 59255 | 2010-12-02 |
| 1437480837 | Sharon L Berglee | Radiologic Technologist | 321 Custer St, Wolf Point, MT 59201-1620 | 2010-01-25 |
| 1710462494 | Danielle Marie Kautz | Radiologic Technologist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2018-09-28 |
| 1871005553 | Julie T.a. Smith | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2017-11-02 |
| 1932587888 | Leslie S. Wells | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-05-12 |
| 1265823389 | Theresa H. Hardy | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-02-11 |
| 1518213560 | Sandra Lee Mcbride | Radiologic Technologist | 308 Mission Drive, St. Ignatius, MT 59865 | 2012-07-27 |
| 1992967814 | Mike F Nielsen | Radiologic Technologist | 2800 10th Ave N, Billings, MT 59101-0703 | 2008-07-01 |
| 1689885717 | Bettejo Snider | Radiologic Technologist | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | ST IGNATIUS |
| Zip Code | 59864 |
Please comment or provide details below to improve the information on KATIE R. 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.