JENNIFER LAKE (NPI# 1922461441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922461441 |
| Entity Type | Individual |
| Full Name | JENNIFER LAKE |
| Credential | NP |
| Practice Address |
3500 Maple Ave Terre Haute IN 47804-1732 |
| Mailing Address |
12201 Bluegrass Pkwy Louisville KY 40299-2361 |
| Practice Telephone | 8122381555 |
| Practice Fax Number | 8122382514 |
| Mailing Telephone | 5025687364 |
| Mailing Fax Number | 5025687136 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71006171A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467799940 | Jennifer Lake | Massage Therapist | 5211 Highway 153 Ste D, Hixson, TN 37343-4957 | 2013-01-03 |
| 1801199302 | Jennifer Marie Lake | Marriage & Family Therapist | 2233 N. Hamline Ave., Suite 411, Roseville, MN 55113 | 2010-12-06 |
| 1245205301 | Jennifer A Lake | Family Medicine | 4422 White Bear Ave N, White Bear Lake, MN 55110-3475 | 2006-02-22 |
| 1760006506 | Jennifer L Lake | Case Manager/Care Coordinator | 4298 Great Egret Way, Middleburg, FL 32068-8760 | 2020-06-07 |
| 1669007597 | Jennifer Lake | Physical Medicine & Rehabilitation | 112 Harcourt Rd, Mount Vernon, OH 43050-3946 | 2020-03-11 |
| 1164079968 | Jennifer Lake | Counselor | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-08-26 |
| 1679090187 | Jennifer Diane Lake | Nurse Practitioner | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2017-08-25 |
| 1285073924 | Jennifer Marie Lake | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2013-06-16 |
| 1881821239 | Jennifer R. Lake | Advanced Practice Midwife | 12605 E 16th Ave, University of Colorado, Aurora, CO 80045-2545 | 2009-06-12 |
| 1740436617 | Jennifer Belle Lake | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2008-08-12 |
| Street Address |
3500 MAPLE AVE |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255497780 | Georgeanne R Pinkston | Nurse Practitioner | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2006-12-29 |
| 1558783860 | Indiana Emergency Physicians, LLP | Emergency Medicine | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2014-01-07 |
| 1083955124 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2013-03-14 |
| 1639457724 | Cheryl Lynn Rader | Nurse Practitioner | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2011-07-24 |
| 1649415662 | Yvonne Denise Russell | Physical Therapy Assistant | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-12-04 |
| 1881841005 | Maila Dando Dela Cruz | Physical Therapist | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-08-19 |
| 1750537247 | Angie Carrillo | Physical Therapy Assistant | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-08-15 |
| 1720234230 | Kelley Wood | Speech-Language Pathologist | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-08-15 |
| 1043476872 | Francis Joseph Patri Estepa Uypuanco | Physical Therapist | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-07-31 |
| 1821254657 | Heather Marie Cioch | Occupational Therapist | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871070763 | Breanna Bahr | Nurse Practitioner | 1530 N 7th St Ste 101, Terre Haute, IN 47807-1058 | 2018-07-24 |
| 1124441332 | Access 2 Md LLC | Nurse Practitioner | 5105 S Us Highway 41, Suite 175, Terre Haute, IN 47802-4790 | 2014-01-23 |
| 1972738359 | Robin L Hudson | Nurse Practitioner | 2014 N 7th St, Terre Haute, IN 47804-2714 | 2009-05-28 |
| 1538150974 | Karen D Smith | Nurse Practitioner | 2723 S 7th St, Suite A, Terre Haute, IN 47802-3558 | 2005-11-03 |
| 1598382590 | Emily A Bradshaw | Nurse Practitioner | 1530 N 7th St Ste 102, Terre Haute, IN 47807-1059 | 2020-06-25 |
| 1518589738 | Rachelle Lebrun | Nurse Practitioner | 221 S 6th St, Terre Haute, IN 47807-4214 | 2020-05-11 |
| 1538798210 | Bernice Imogene Morris | Nurse Practitioner | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2020-04-05 |
| 1942843644 | Stephanie Mendez | Nurse Practitioner | 2723 S 7th St Ste A, Terre Haute, IN 47802-3558 | 2019-10-25 |
| 1720636475 | Lindsay P Gamble | Nurse Practitioner | 4320 S 7th St, Terre Haute, IN 47802-4301 | 2019-08-27 |
| 1881248037 | Jessica R May | Nurse Practitioner | 1436 Locust St, Terre Haute, IN 47807-1648 | 2019-07-26 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47804 |
Please comment or provide details below to improve the information on JENNIFER 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.