MARK LAKE (NPI# 1245677467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245677467 |
| Entity Type | Individual |
| Full Name | MARK LAKE |
| Credential | ATC |
| Practice Address |
1767 Hampton Knoll Dr Akron OH 44313-4878 |
| Practice Telephone | 3309727503 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
002955 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356479539 | Mark S. Lake | Dentist | 1037 Palisades Blvd, Ste 9, Osage Beach, MO 65065-3340 | 2007-03-01 |
| 1104848423 | Mark Adrian Lake | Dermatology | 15 Executive Dr, Suite 4, Lafayette, IN 47905-3833 | 2006-07-24 |
| Street Address |
1767 HAMPTON KNOLL DR |
| City | AKRON |
| State | OH |
| Zip Code | 44313-4878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305874 | Kerano Tucker | Home Health Aide | 1638 Tanglewood Dr, Akron, OH 44313 | 2020-10-29 |
| 1184289605 | Autumn Leree Sullivan | Home Health | 1672 Dominion Dr, Akron, OH 44313 | 2019-05-09 |
| 1780141929 | Travis Dean Olinger | Student in an Organized Health Care Education/Training Program | 985 A Snowfall Spur, Akron, OH 44313 | 2019-02-25 |
| 1225542368 | Caring Angels Healthcare Agency LLC | In Home Supportive Care | 1650 W. Market St., Suite 14, Akron, OH 44313 | 2017-11-28 |
| 1831619394 | Danielle Livingston | Home Health Aide | 1670 Dominion Dr, Akron, OH 44313 | 2017-06-26 |
| 1689106569 | Laura E Delsignore | Counselor | 1653 Merriman Rd Ste 114, Akron, OH 44313 | 2017-03-30 |
| 1770030231 | Amelia Mcnutt | Student in an Organized Health Care Education/Training Program | 1457 Rowles Drive, Akron, OH 44313 | 2016-09-01 |
| 1386096501 | Michael Wilson | Home Health | 596 North Hawkins Ave, Akron, OH 44313 | 2016-07-12 |
| 1578927158 | Kathy Chamberlain | Social Worker | 900 Mull Avenue, Akron, OH 44313 | 2016-04-08 |
| 1861832651 | Noelle K. Akins | Counselor | 1655 W. Market St., Suite 440, Akron, OH 44313 | 2013-06-26 |
| Find all providers in zip 44313 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852532 | Ty'asia L Jones | Specialist/Technologist | 380 W Cedar St Apt B7, Akron, OH 44307-2421 | 2020-05-11 |
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1184261836 | Shannon Amstutz | Specialist/Technologist | 2567 Mayfair Rd, Akron, OH 44312-5474 | 2019-12-02 |
| 1013554765 | Tyezhe' L Wilson | Specialist/Technologist | 717 Edgewood Ave, Akron, OH 44307-2021 | 2019-12-02 |
| 1871137802 | Alexa Noelle Brewster | Specialist/Technologist | 3975 Embassy Pkwy Ste A, Akron, OH 44333-8319 | 2019-11-02 |
| 1598228306 | Dandrea Mccall | Specialist/Technologist | 1103 Cumberland Dr, Akron, OH 44306-3815 | 2019-04-09 |
| 1225595465 | Logan Paige Scears | Specialist/Technologist | 193 Davenport Ave, Akron, OH 44312-1609 | 2019-02-25 |
| 1538624754 | Alexis Cooks | Specialist/Technologist | 376 W Cedar St Apt A5, Akron, OH 44307-2428 | 2019-02-01 |
| 1023585882 | John Anthony Adams II | Specialist/Technologist | 956 Peerless Ave, Akron, OH 44320-2841 | 2018-10-30 |
| 1629544986 | India Barclay | Specialist/Technologist | 1052 Peerless Ave, Akron, OH 44320-3664 | 2018-10-15 |
| Find all providers in AKRON | ||||
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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.