CELESTE LAKE (NPI# 1932708377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932708377 |
| Entity Type | Individual |
| Full Name | CELESTE LAKE |
| Credential | PA-C |
| Practice Address |
103 Cotton Creek Rd Star NC 27356-7954 |
| Mailing Address |
11945 Hudson Ridge Dr Apt 202 Port Richey FL 34668-1969 |
| Practice Telephone | 9104289020 |
| Mailing Telephone | 9842251993 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | PA9113323 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
103 COTTON CREEK RD |
| City | STAR |
| State | NC |
| Zip Code | 27356-7954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336199454 | Frederick E Pfeiffer II | Internal Medicine | 103 Cotton Creek Rd, Star, NC 27356-7954 | 2006-05-11 |
| 1518599554 | Robert Wesley Jester | Nurse Practitioner | 103 Cotton Creek Rd, Star, NC 27356-7954 | 2020-02-07 |
| 1467010017 | Robeson Health Care Corporation | Pharmacy | 103 Cotton Creek Rd, Star, NC 27356-7954 | 2019-05-30 |
| 1093222994 | Donna Marie Latva | Nurse Practitioner | 103 Cotton Creek Rd, Star, NC 27356-7954 | 2018-01-02 |
| 1164807681 | Valerie Ann Lenhart | Nurse Practitioner | 103 Cotton Creek Rd, Star, NC 27356-7954 | 2015-07-27 |
| 1629334016 | Robeson Health Care Corporation | Clinic/Center | 103 Cotton Creek Rd, Star, NC 27356 | 2012-04-10 |
| 1124207758 | Karen Wilkie Hoerner | Registered Nurse | 103 Cotton Creek Rd, Star, NC 27356-7954 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689799223 | Starmont Assisted Living | Assisted Living Facility | 327 Freeman Street, Star, NC 27356-0157 | 2007-03-20 |
| 1104156371 | Therapeutic Alternatives Incorporated | Community/Behavioral Health | 327 Freeman Street, Star, NC 27356-0157 | 2010-01-11 |
| 1407038391 | Therapeutic Alternatives, Inc. | Custodial Care Facility | 327 Freeman Street, Star, NC 27356-0157 | 2007-12-03 |
| 1235243353 | Montgomery Drug Inc | Pharmacy | 339 S Main St, Star, NC 27356-0279 | 2006-08-18 |
| 1114046778 | Crowder Family Care | Assisted Living Facility | 444 Craven St, Star, NC 27356-0602 | 2007-03-28 |
| 1326166455 | Wilson Family Care | Assisted Living Facility | 221 Center St, 221 Center St, Star, NC 27356-0602 | 2007-03-27 |
| 1952305401 | Cnc Family Medicine, Pllc | Clinic/Center | 128 Okeewemee Star Rd, Star, NC 27356-7343 | 2005-06-10 |
| 1578580221 | Helping Hands Home Care Agency | Home Health | 115 New Hope Church Rd, Star, NC 27356-7539 | 2006-07-17 |
| 1497999031 | Brookstone Haven of Star Assisted Living, LLC | Custodial Care Facility | 327 Freeman St, Star, NC 27356-7623 | 2009-04-27 |
| 1023487881 | Larry Kennedy | Pharmacist | 339 S Main St, Star, NC 27356-7765 | 2015-09-22 |
| Find all providers in zip 27356 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396059 | Healthworks Med Group of North Carolina P C | General Practice | 200 W 2nd St Fl 2, Winston Salem, NC 27101-4019 | 2020-08-11 |
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1396356606 | Healthworks Med Group of North Carolina P C | General Practice | 3200 Beechleaf Ct Ste 200, Raleigh, NC 27604-1063 | 2020-08-11 |
| 1194336594 | Healthworks Med Group of North Carolina P C | General Practice | 7701 Airport Center Dr Fl 2, Greensboro, NC 27409-9047 | 2020-08-11 |
| 1801407150 | Healthworks Med Group of North Carolina P C | General Practice | 2586 James B White Hwy N Bldg A, Whiteville, NC 28472-8974 | 2020-08-11 |
| 1467099127 | Carolina Acute Care & Wellness Center, Pa | General Practice | 2601 N Elm St Ste A, Lumberton, NC 28358-3063 | 2019-12-02 |
| 1053953125 | Emergent Life Integrative Medicine Center, Inc | General Practice | 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 | 2019-10-10 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1972161503 | Shanda Nicole Felton | General Practice | 8 Durbin Pl, Durham, NC 27705-6127 | 2019-05-29 |
| 1437613171 | Sme South Carolina P.C. | General Practice | 212 Cape August Pl, Belmont, NC 28012-6768 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CELESTE 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.