MRS. JENNIFER L LAKE (NPI# 1760006506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760006506 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER L LAKE |
| Practice Address |
4298 Great Egret Way Middleburg FL 32068-8760 |
| Mailing Address |
3342 Nokomis Rd Orange Park FL 32073-6620 |
| Practice Telephone | 8033182052 |
| Mailing Telephone | 9046087784 |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467799940 | Jennifer Lake | Massage Therapist | 5211 Highway 153 Ste D, Hixson, TN 37343-4957 | 2013-01-03 |
| 1801199302 | Jennifer Marie Lake | Marriage & Family Therapist | 2233 N. Hamline Ave., Suite 411, Roseville, MN 55113 | 2010-12-06 |
| 1245205301 | Jennifer A Lake | Family Medicine | 4422 White Bear Ave N, White Bear Lake, MN 55110-3475 | 2006-02-22 |
| 1669007597 | Jennifer Lake | Physical Medicine & Rehabilitation | 112 Harcourt Rd, Mount Vernon, OH 43050-3946 | 2020-03-11 |
| 1164079968 | Jennifer Lake | Counselor | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-08-26 |
| 1679090187 | Jennifer Diane Lake | Nurse Practitioner | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2017-08-25 |
| 1922461441 | Jennifer Lake | Nurse Practitioner | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2016-04-01 |
| 1285073924 | Jennifer Marie Lake | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2013-06-16 |
| 1881821239 | Jennifer R. Lake | Advanced Practice Midwife | 12605 E 16th Ave, University of Colorado, Aurora, CO 80045-2545 | 2009-06-12 |
| 1740436617 | Jennifer Belle Lake | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2008-08-12 |
| Street Address |
4298 GREAT EGRET WAY |
| City | MIDDLEBURG |
| State | FL |
| Zip Code | 32068-8760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330398 | Shermell Williams | Case Manager/Care Coordinator | 4298 Great Egret Way, Middleburg, FL 32068-8760 | 2019-01-26 |
| 1942829734 | Enhancing The Quality of Life, LLC | Case Manager/Care Coordinator | 4298 Great Egret Way, Middleburg, FL 32068-8760 | 2020-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084174 | Christopher Littles | Technician | 3122 Angora Bay Dr, Middleburg, FL 32068 | 2018-12-16 |
| 1730685157 | Children's Express Care Clinic | Pediatrics | 430 College Drive, Suite 100-102, Middleburg, FL 32068 | 2018-04-04 |
| 1588162762 | Lp Sw Jacksonville, LLC | Skilled Nursing Facility | 1280 Henley Road, Middleburg, FL 32068 | 2018-01-23 |
| 1396264982 | Michael Jessie Visita Roberts | Physical Therapy Assistant | 1648 St. Vincents Way, 100b, Middleburg, FL 32068 | 2017-09-14 |
| 1093239915 | Kevia Hart | In Home Supportive Care | 2718 Tina Lane, Middleburg, FL 32068 | 2017-08-02 |
| 1366899825 | Serena Burr | Midwife | 1986 Friendly Pl, Middleburg, FL 32068 | 2016-05-15 |
| 1932573672 | Jamie Dietrich | Physical Therapist | 2583-3 County Road 220, Middleburg, FL 32068 | 2015-11-18 |
| 1154791614 | Katherine Wenger | Physical Therapist | 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 | 2015-09-28 |
| 1699024240 | Amanda Copeland | Speech-Language Pathologist | 2823 Woodstone Dr., Middleburg, FL 32068 | 2012-08-29 |
| 1194089243 | Good Samaritan Home Companion Services, Inc. | In Home Supportive Care | 3689 Main Street, Middleburg, FL 32068 | 2012-07-03 |
| Find all providers in zip 32068 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330398 | Shermell Williams | Case Manager/Care Coordinator | 4298 Great Egret Way, Middleburg, FL 32068-8760 | 2019-01-26 |
| 1144572017 | Aimee Newton | Case Manager/Care Coordinator | 920 Addie Ln, Middleburg, FL 32068-3300 | 2012-10-02 |
| 1942829734 | Enhancing The Quality of Life, LLC | Case Manager/Care Coordinator | 4298 Great Egret Way, Middleburg, FL 32068-8760 | 2020-04-11 |
| 1285099044 | Nicole Saunders | Case Manager/Care Coordinator | 3292 County Road 220, Middleburg, FL 32068-4357 | 2015-12-22 |
| 1265581003 | Mary Elizabeth Franco | Case Manager/Care Coordinator | 3292 County Road 220, Middleburg, FL 32068-4357 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1316547615 | Kyomi Santana | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-10-27 |
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1891394409 | Ariadna Cannet | Case Manager/Care Coordinator | 27583 Sw 143rd Ct, Homestead, FL 33032-8871 | 2020-10-23 |
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1326646985 | Lewis Connects | Case Manager/Care Coordinator | 885 Hickory Ave, Orange City, FL 32763-6864 | 2020-10-15 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1548867831 | Jessica Bickman | Case Manager/Care Coordinator | 1026 Replica Ave, Sebring, FL 33872-2720 | 2020-10-08 |
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1679180392 | Astrid C Montesinos Franco | Case Manager/Care Coordinator | 7656 Nw 5th St Apt 4f, Plantation, FL 33324-1940 | 2020-09-27 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG |
| Zip Code | 32068 |
Please comment or provide details below to improve the information on MRS. JENNIFER L LAKE.
| 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.