PATRICIA LAKE (NPI# 1396912861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396912861 |
| Entity Type | Individual |
| Full Name | PATRICIA LAKE |
| Credential | MA,CCC-A |
| Practice Address |
365 Montauk Ave New London CT 06320-4700 |
| Practice Telephone | 8604444700 |
| Mailing Telephone | 8604444700 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 000335 | CT | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912337163 | Patricia Lake | Social Worker | 316 Hickory Ln, Schaumburg, IL 60193-1578 | 2013-11-24 |
| 1457332835 | Patricia Mary Lake | Counselor | 2450 Alamo Ave Se, Milagro Program, Albuquerque, NM 87106-3204 | 2005-11-11 |
| Street Address |
365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460186 | Steven Lu | Internal Medicine | 365 Montauk Ave, Rm 4.512, New London, CT 06320-4700 | 2005-07-08 |
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1952954117 | Veronica O Lee | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-17 |
| 1265084487 | Lydia Derienzo | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-09 |
| 1184283699 | Theresa Joan Crino | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-08 |
| 1437718137 | Linda Anderson | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-07 |
| 1265091813 | Stephen Richard Cofone | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-07 |
| 1841859683 | Thomas David Page | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-06 |
| 1942869706 | William Edward Sergiy IIi | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| 1578122263 | Mary Stevens | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396902292 | Krista Bachl | Audiologist | 365 Montauk Ave, New London, CT 06320-4700 | 2008-05-19 |
| 1578730040 | Maureen Miller-lemek | Audiologist | 365 Montauk Ave, New London, CT 06320-4700 | 2008-05-13 |
| 1689841256 | Susan Casey | Audiologist | 365 Montauk Ave, New London, CT 06320-4700 | 2008-05-13 |
| 1942477518 | Carol Costa | Audiologist | 365 Montauk Ave, New London, CT 06320-4700 | 2008-05-13 |
| 1659548121 | Melanie Sisson | Audiologist | 365 Montauk Ave, New London, CT 06320-4700 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586641 | Natalie Silvia | Audiologist | 21 W Main St Fl 3, Waterbury, CT 06702-2013 | 2020-07-27 |
| 1598380404 | Michael Figueiredo | Audiologist | 72 Jones Hollow Rd, Marlborough, CT 06447-1141 | 2020-06-16 |
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1104465673 | Julia Davis | Audiologist | 911 State Street, State Street Health Services, New Haven, CT 06511-3929 | 2020-01-02 |
| 1295394484 | Amber Waitcus Pickett | Audiologist | 146 Hazard Ave Ste 204, Enfield, CT 06082-4566 | 2019-06-11 |
| 1336602226 | Shannon Marie O'loughlin | Audiologist | Crec-soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610 | 2019-04-09 |
| 1679050744 | Noelle Marie Delorme | Audiologist | U-1085 Bolton Road, Storrs, CT 06269-0001 | 2018-07-23 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1063905610 | Samantha N Hauser | Audiologist | 22 Tompkins St Ste 1, Waterbury, CT 06708-1496 | 2018-06-08 |
| 1821500703 | Abby Hill Smith | Audiologist | 2600 Post Rd Ste 2, Southport, CT 06890 | 2017-10-31 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.