LEAH LAKE (NPI# 1619467537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619467537 |
| Entity Type | Individual |
| Full Name | LEAH LAKE |
| Credential | CERTIFIED NURSE ASSI |
| Practice Address |
5401 S Kirkman Rd Ste 310 Orlando FL 32819-7937 |
| Practice Telephone | 3213324455 |
| Mailing Telephone | 3213324455 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750397378 | Leah Johnson Lake | Marriage & Family Therapist | 605 Capitol Place, Columbia, SC 29205 | 2006-08-01 |
| 1134677883 | Leah Lake | Case Manager/Care Coordinator | 121 Sawgrass Pt, Harrison, AR 72601-3072 | 2016-09-12 |
| Street Address |
5401 S KIRKMAN RD STE 310 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-7937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306131529 | Moresa Culbreath | Psychologist | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2011-06-15 |
| 1518430032 | Tequila Golden | Nurse Practitioner | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2019-01-08 |
| 1912405556 | You Choose Home Health LLC | Home Health | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2018-01-29 |
| 1811407356 | Holo Wellness LLC | Social Worker | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2017-10-11 |
| 1194243261 | Garden of Eden Medical Group LLC | Nutritionist | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2017-09-08 |
| 1730612185 | Divine Deliverance Therapy Services, LLC | Occupational Therapy Assistant | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2017-04-04 |
| 1902267891 | Labrina Jackson | Speech-Language Pathologist | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2016-03-19 |
| 1184025579 | Jennifer Guerriero | Social Worker | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2014-09-04 |
| 1972869261 | Ashley Nicole Morris | Social Worker | 5401 S Kirkman Rd Ste 310, Orlando, FL 32819-7937 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453065 | Charles Edward Haynes | Adult Companion | 226 Greens End St, Orlando, FL 32810-6227 | 2020-06-28 |
| 1225655087 | Christina Nichole Harvey | Adult Companion | 410 Sunnyview Cir, Orlando, FL 32810-6279 | 2020-06-28 |
| 1184246514 | Gooden Homecare Services LLC | Adult Companion | 5248 Long Rd Apt B, Orlando, FL 32808-1105 | 2020-05-07 |
| 1902456908 | Larico Toliver | Adult Companion | 6145 Misson Dr, Orlando, FL 32810-3910 | 2019-09-12 |
| 1225595192 | Kizzy Ross | Adult Companion | 6216 Beechmont Blvd, Orlando, FL 32808-2318 | 2019-02-26 |
| 1598248007 | Devona M Sharp | Adult Companion | 8422 Margarita Dr, Orlando, FL 32817-1227 | 2018-09-11 |
| 1083191415 | Myrlene Warren | Adult Companion | 101 S Garland Ave Ste 108, Orlando, FL 32801-3276 | 2018-07-27 |
| 1649763178 | Marie Alexandra Senat I | Adult Companion | 640 Grandiflora Drive, Orlando, FL 32811 | 2018-06-09 |
| 1538677570 | Quanisha Dorlean | Adult Companion | 6258 Sparling Hills Cir, Orlando, FL 32808-1438 | 2018-01-11 |
| 1477064426 | Gemma P Vega | Adult Companion | 5323 Millenia Lakes Blvd Ste 374, Orlando, FL 32839-3395 | 2017-10-17 |
| Find all providers in ORLANDO | ||||
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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.