BRENDA KAY LAKE (NPI# 1326384835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326384835 |
| Entity Type | Individual |
| Full Name | BRENDA KAY LAKE |
| Credential | R.N. |
| Practice Address |
3717 Bay Rd Erie MI 48133-9404 |
| Practice Telephone | 4192974629 |
| Practice Fax Number | 7347234001 |
| Mailing Telephone | 4192974629 |
| Mailing Fax Number | 7347234001 |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2019-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
349091 | OH | Nursing Service Providers |
| Street Address |
3717 BAY RD |
| City | ERIE |
| State | MI |
| Zip Code | 48133-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184189227 | Kathleen Ann Mehl | Licensed Practical Nurse | 10100 Bay Creek Rd, Erie, MI 48133-9304 | 2019-02-03 |
| 1356524102 | Janet Lynn Lee | Registered Nurse | 2151 E Erie Rd, Erie, MI 48133-9320 | 2007-12-14 |
| 1699333419 | Nicole Elizabeth Zmijewski | Nurse Practitioner | 2090 Matty Dr, Erie, MI 48133-9370 | 2019-06-05 |
| 1043685746 | Hollie Fortman | Social Worker | 6255 Telegraph Rd Lot 209, Erie, MI 48133-9440 | 2015-12-07 |
| 1184978199 | Shannon Reese | Home Health Aide | 3050 Morin Point St, Erie, MI 48133-9685 | 2012-10-30 |
| 1386885044 | Angel's Secret Transportation | Non-emergency Medical Transport (VAN) | 10335 Keeney St, Erie, MI 48133-9787 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1629677190 | Brittany Adele Labauve | Massage Therapist | 1396 Flannagan Ct, Erie, CO 80516-6941 | 2020-10-25 |
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1952918104 | Flagship Functional Medicine | Clinic/Center | 2501 Palermo Dr Ste A, Erie, PA 16506-7210 | 2020-09-30 |
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1265049282 | Jacquelyn D'amico | Registered Nurse | 8814 Ennis Dr, Erie, PA 16509-5004 | 2020-09-24 |
| 1730795931 | Medical Associates of Erie | Internal Medicine | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-09-22 |
| Find all providers in ERIE | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710201041 | Andrea Lynne Defelice | Registered Nurse | 1443 W 38th St, Erie, PA 16508-2323 | 2010-03-15 |
| 1174749808 | Tamara Lynn Trump | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1111 | 2007-04-18 |
| 1952527277 | Patricia Weiss | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1111 | 2007-04-17 |
| 1245456599 | Rhonda Yates | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1111 | 2007-04-17 |
| 1174749428 | Kathleen Fatica | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1111 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1730796764 | Rebekah J Trivilino | Registered Nurse | 619 W Houstonia Ave, Royal Oak, MI 48073-4083 | 2020-09-24 |
| 1508473653 | Latoia Pharr | Registered Nurse | 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 | 2020-09-23 |
| 1093332843 | Laurence Stephen Reuben | Registered Nurse | 26070 Radclift Pl, Oak Park, MI 48237-1047 | 2020-06-28 |
| 1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
| 1558980862 | Kyesha Noble | Registered Nurse | 545 Abbey St Apt G, Muskegon, MI 49442-2155 | 2020-04-16 |
| 1568095222 | Leslie Kidd | Registered Nurse | 8904 Cedar Lake Dr, Jenison, MI 49428-9462 | 2020-02-20 |
| 1164054086 | Brenda S Vanaanhold | Registered Nurse | 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 | 2020-02-08 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1134777592 | Alicia Marie Gregg | Registered Nurse | 6024 Walton Rd, Kingsley, MI 49649-9275 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
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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.