WILLIAM CAREY LAKE (NPI# 1497390017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497390017 |
| Entity Type | Individual |
| Full Name | WILLIAM CAREY LAKE |
| Credential | APRN |
| Practice Address |
1025 Jade Drivee Hanna WY 82327-8232 |
| Mailing Address |
1008 Feldspar Ct Hanna WY 82327-5046 |
| Practice Telephone | 3073218782 |
| Mailing Telephone | 8593147052 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
44879 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699043224 | William M Lake | Pharmacist | 325 Folly Rd, Charleston, SC 29412-2507 | 2011-12-10 |
| 1952585630 | William Robert Lake | Marriage & Family Therapist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-12-18 |
| Street Address |
1025 JADE DRIVEE |
| City | HANNA |
| State | WY |
| Zip Code | 82327-8232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619957685 | Cindy B Faulkner | Physician Assistant | 1008 Feldspar Court, Hanna, WY 82327 | 2006-01-18 |
| 1598195570 | Karen Ellis | Social Worker | 305 Main St, Hanna, WY 82327 | 2013-11-12 |
| 1952595043 | Town of Hanna | Ambulance | 111 2nd St, Hanna, WY 82327 | 2007-08-31 |
| 1194869115 | Memorial Hospital of Carbon County | Clinic/Center | 1008 Feldspar Court, Hanna, WY 82327 | 2007-02-16 |
| 1518037431 | Calvin Garrison | Physician Assistant | 1008 Feldspar Court, Hanna, WY 82327 | 2006-11-08 |
| 1194862458 | Hanna Ems | Ambulance | 111 Second St., Hanna, WY 82327-0044 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063761476 | Hanna Public School | Public Health or Welfare | 2nd and Huls, Hanna, OK 74845 | 2012-08-30 |
| 1225344773 | Brent Duane King | Contractor | 12884 S 600 W, Hanna, IN 46340-9788 | 2010-08-22 |
| 1194862458 | Hanna Ems | Ambulance | 111 Second St., Hanna, WY 82327-0044 | 2007-01-30 |
| 1619957685 | Cindy B Faulkner | Physician Assistant | 1008 Feldspar Court, Hanna, WY 82327 | 2006-01-18 |
| 1598195570 | Karen Ellis | Social Worker | 305 Main St, Hanna, WY 82327 | 2013-11-12 |
| 1952595043 | Town of Hanna | Ambulance | 111 2nd St, Hanna, WY 82327 | 2007-08-31 |
| 1194869115 | Memorial Hospital of Carbon County | Clinic/Center | 1008 Feldspar Court, Hanna, WY 82327 | 2007-02-16 |
| 1518037431 | Calvin Garrison | Physician Assistant | 1008 Feldspar Court, Hanna, WY 82327 | 2006-11-08 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012383 | Susan M. Miner | Nurse Practitioner | 487 N. Main St. #2, Thayne, WY 83127 | 2020-10-27 |
| 1922606177 | Crysta Jean Sullivan | Nurse Practitioner | 2401 Greenway Dr, Gillette, WY 82716-2333 | 2020-10-10 |
| 1245844463 | Lara Vanden Hoek | Nurse Practitioner | 3339 Hales Ranch Rd, Cheyenne, WY 82007-1825 | 2020-09-04 |
| 1417560020 | Camlyn Dunn | Nurse Practitioner | 17985 Us Highway 14, Moorcroft, WY 82721-8814 | 2020-08-25 |
| 1649897406 | Anne Barnes | Nurse Practitioner | 4003 Rawlins St Ste A, Cheyenne, WY 82001-1800 | 2020-06-28 |
| 1548882343 | Evolving Ehealth LLC | Nurse Practitioner | 1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777 | 2020-05-14 |
| 1316578826 | Karen Ann Alexander | Nurse Practitioner | 921 S Ballancee Ave, Lusk, WY 82225 | 2020-02-03 |
| 1801436274 | Susan Ranea Roberson | Nurse Practitioner | 69 Valley Dr, Casper, WY 82604-4011 | 2020-01-13 |
| 1184266058 | Kelsie Anderson | Nurse Practitioner | 1423 W 31st St, Cheyenne, WY 82001-2458 | 2019-10-11 |
| 1659921609 | Ashley Lynn Ferguson | Nurse Practitioner | 8 Rose Dr, Buffalo, WY 82834-9312 | 2019-09-11 |
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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.