KAYSE LEE LAKE (NPI# 1366686800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366686800 |
| Entity Type | Individual |
| Full Name | KAYSE LEE LAKE |
| Credential | DPM |
| Practice Address |
575 Rivergate Lane Suite 95 Durango CO 81301 |
| Mailing Address |
575 Rivergate Suite 95 Durango CO 81301-7487 |
| Practice Telephone | 9702535303 |
| Practice Fax Number | 9702593510 |
| Mailing Telephone | 9702595303 |
| Mailing Fax Number | 9702533510 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2017-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
348 | NM | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
710 | CO | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36.003558 | OH | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5063880-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07501552 | 05 |
| Street Address |
575 RIVERGATE LANE SUITE 95 |
| City | DURANGO |
| State | CO |
| Zip Code | 81301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842964 | Animas Surgical Hospital, LLC | General Acute Care Hospital | 575 Rivergate Lane, Durango, CO 81301 | 2005-12-19 |
| 1982231601 | Shannon Renee Byrnes | Pharmacist | 575 Rivergate Lane, Suite 111, Durango, CO 81301 | 2020-03-24 |
| 1366932196 | Animas Surgical Hospital, LLC | Orthopaedic Surgery | 575 Rivergate Lane, Suite 109, Durango, CO 81301 | 2018-05-17 |
| 1093236788 | Fresh Flow Anesthesia Pllc | Anesthesiology | 575 Rivergate Lane, Durango, CO 81301-7487 | 2017-07-03 |
| 1912284662 | Stephen Matthew Stockhausen | Physical Therapist | 575 Rivergate Lane, Suite, Durango, CO 81301 | 2011-11-09 |
| 1669620514 | Brian Paul Butzen | Orthopaedic Surgery | 575 Rivergate Lane, Suite 105, Durango, CO 81301 | 2008-09-04 |
| 1922260231 | Sarah Louise Gueli | Anesthesiology | 575 Rivergate Lane, Durango, CO 81301-7487 | 2008-06-27 |
| 1235313693 | Animas Surgical Hospital, LLC | Family Medicine | 575 Rivergate Lane, #105, Durango, CO 81301 | 2007-12-20 |
| 1144402058 | Jennifer Forrest Orthopaedics, Inc. | Specialist | 575 Rivergate Lane, Suite 105, Durango, CO 81301-7487 | 2007-12-03 |
| 1891901963 | Animas Emergency Physicians, LLC | Emergency Medicine | 575 Rivergate Lane, Durango, CO 81301 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518198696 | Animas Foot and Ankle | Podiatrist | 975 Rivergate, Unit 105, Durango, CO 81301-7490 | 2009-08-06 |
| 1508096116 | Nicholas Leland Hugentobler | Podiatrist | 575 Rivergate Ste 105, Durango, CO 81301 | 2009-07-16 |
| 1699337741 | Southwest Foot and Ankle, PC | Podiatrist | 575 Rivergate Unit 105, Durango, CO 81301-7490 | 2019-06-28 |
| 1609129626 | Nicholas L Hugentobler PC | Podiatrist | 575 Rivergate, Suite 105, Durango, CO 81301 | 2012-10-16 |
| 1235422924 | Ashley Irene Vanderloop | Podiatrist | 575 Rivergate Unit 105, Durango, CO 81301 | 2011-05-27 |
| 1861643819 | Stilwell Foot and Ankle, LLC | Podiatrist | 575 Rivergate, Suite 95, Durango, CO 81301-7487 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449521 | Foot and Ankle Center of The Rockies LLC | Podiatrist | 1305 Sumner St Unit 200, Longmont, CO 80501-3270 | 2020-02-13 |
| 1740825397 | Valley View Hospital Association | Podiatrist | 1450 E Valley Rd Unit 202, Basalt, CO 81621-8352 | 2019-11-07 |
| 1275966004 | Kyle S Nay | Podiatrist | 1825 E Main St Ste A, Montrose, CO 81401-3848 | 2013-08-15 |
| 1467893131 | Blake Hines | Podiatrist | 12201 Pecos St Ste 400, Westminster, CO 80234-3994 | 2013-07-10 |
| 1841630225 | Andrew Steven Bernhard | Podiatrist | 842 Summit Blvd, #15, Frisco, CO 80443 | 2013-06-28 |
| 1730528001 | Keleigh A Muxlow | Podiatrist | 3740 Dacoro Ln Ste 105, Castle Rock, CO 80109-2515 | 2013-06-20 |
| 1104262922 | Altitude Foot & Ankle Center | Podiatrist | 1138 Olympia Ave, Unit B, Longmont, CO 80504-2382 | 2013-05-20 |
| 1275898355 | Sarah Mae Thompson | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2012-07-05 |
| 1912261074 | Morgan Johonn Kizzar | Podiatrist | 604 S 9th St, Canon City, CO 81212-4910 | 2012-07-03 |
| 1184905887 | Brian Michael Oase | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2011-09-08 |
| 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.