WINDSOR M. LAKE


Address: 1229 E Seminole St, Suite 220, Springfield, MO 65804-2227
Phone: 4178205150

WINDSOR M. LAKE (NPI# 1770984163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770984163
Entity Type Individual
Full Name WINDSOR M. LAKE
Practice Address 1229 E Seminole St
Suite 220
Springfield
MO 65804-2227
Mailing Address Po Box 505164
Saint Louis
MO 63150-5164
Practice Telephone 4178205150
Practice Fax Number 4178205155
Mailing Telephone 4178202000
Enumeration Date 2014-09-04
Last Update Date 2014-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2014028414 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO PENDING 05

Office Location

Street Address 1229 E SEMINOLE ST
SUITE 220
City SPRINGFIELD
State MO
Zip Code 65804-2227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407856263 Gary L Mehlhorn Ophthalmology 1229 E Seminole St, Springfield, MO 65804-2227 2005-07-22
1265090138 Charles Slagle Nurse Practitioner 1229 E Seminole St, Springfield, MO 65804-2227 2019-06-05
1750741112 Ashley Hrabik Physician Assistant 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 2016-02-29
1184083263 Lauren Stock Physician Assistant 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 2016-02-17
1730567728 Nathan P. Schatz Nurse Practitioner 1229 E Seminole St, Suite 520, Springfield, MO 65804-2227 2015-05-11
1730566969 Somer A. Norman Nurse Practitioner 1229 E Seminole St, Springfield, MO 65804-2227 2015-04-27
1700278835 Ashley M. Bullard Physician Assistant 1229 E Seminole St, Suite 520, Springfield, MO 65804-2227 2015-02-26
1528409158 Carrie L. Hartigan Optometrist 1229 E Seminole St, 4th Fl, Springfield, MO 65804-2227 2013-07-11
1073852604 Kara D. Walker Physician Assistant 1229 E Seminole St, Suite 340, Springfield, MO 65804-2227 2013-02-01
1184973380 Heather E Meyer Audiologist 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 2012-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1306498779 Anne B Summers, LLC Social Worker 1310 E. Kingsley St., Ste C, Springfield, MO 65804 2019-07-15
1790241800 Margaret Mary Hart Social Worker 1845 S Rogers Ave, Springfield, MO 65804 2019-02-13
1598254666 Casey Carr Optometrist 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1124520697 Shelby D White Behavioral Analyst 1300 E. Bradford Parkway, Springfield, MO 65804 2018-03-01
1316448343 Karl Lynham Massage Therapist 1200 E Woodhurst Dr R300, Springfield, MO 65804 2018-02-25
1699273763 Leah Wilson Counselor 1322 E Woodgate, Springfield, MO 65804 2018-01-24
1295242626 Matthew Crisp Physical Therapist 3252 E Independence St, Springfield, MO 65804 2018-01-08
1518491042 Crystal Spangler Dietitian, Registered 1965 S Fremont Ave Ste 220, Springfield, MO 65804 2017-04-11
1588012033 Jeffrey Williams Pharmacist 1235 E. Cherokee, Springfield, MO 65804 2016-05-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669072823 Rachel Westbrook Nurse Practitioner 1417 Burning Bush Ct, Springfield, IL 62712-7529 2020-10-27
1730786377 Catherine Newman Nurse Practitioner 27124 La-42, Springfield, LA 70462 2020-10-07
1275146268 Courtney Wilbern Nurse Practitioner 1200 W Centre St, Springfield, IL 62704-5812 2020-08-28
1588276240 Andrew Ronald Mouser Nurse Practitioner 607 Prospect Rd, Springfield, PA 19064-2819 2020-08-23
1821609082 William Coleman Bryant Nurse Practitioner 5552 W Longleaf Dr, Springfield, MO 65802-7834 2020-08-12
1386254399 Ashley Lynn Murray Nurse Practitioner 2443 E Greenwood St, Springfield, MO 65804-3907 2020-08-04
1679182281 Erica Gail Hunt Nurse Practitioner 2813 Haverford Rd, Springfield, IL 62704-4267 2020-07-29
1063020063 Gage Azeez Nurse Practitioner 46 Timber Ln, Springfield, MA 01119-2828 2020-07-16
1033737440 Janne L Nicholson Nurse Practitioner 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 2020-07-13
1922623156 Amanda E Hildebrand Nurse Practitioner 3370 Carman Ave, Springfield, IL 62703-4642 2020-06-12
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Competitor

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City SPRINGFIELD
Zip Code 65804

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Dataset Information

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.

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