MRS. PAMELA LAKE (NPI# 1821390162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821390162 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA LAKE |
| Practice Address |
1360 Gray Fox Dr North Canton OH 44720-1014 |
| Practice Telephone | 3302830928 |
| Mailing Telephone | 3302830928 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598816266 | Pamela M Lake | Counselor | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2007-01-16 |
| Street Address |
1360 GRAY FOX DR |
| City | NORTH CANTON |
| State | OH |
| Zip Code | 44720-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
| 1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
| 1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
| 1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
| 1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
| 1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
| 1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
| 1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
| Find all providers in zip 44720 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235721 | Teri Lynn Watkins | Technician | 1135 Chevy Ln, Piqua, OH 45356-8559 | 2020-11-02 |
| 1467052415 | Lissie Lee Powell | Technician | 851 Glensdel Dr, Dayton, OH 45417-8835 | 2020-10-29 |
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1063011088 | Rushon Unitea Marche Turner | Technician | 1231 Wilbur Ave, Akron, OH 44301-1839 | 2020-10-21 |
| 1164021432 | Dan W Nay | Technician | 5530 Township Road 213, Marengo, OH 43334-9603 | 2020-10-19 |
| 1033716337 | Holly Noel Shira | Technician | 4806 Kingshill Dr, Columbus, OH 43229-6204 | 2020-10-08 |
| 1508463407 | Terri Gerth | Technician | 9853 State Route 503 N, Lewisburg, OH 45338-8946 | 2020-10-04 |
| 1851998835 | India Bennett | Technician | 12000 Hastings Rd, Cleveland, OH 44125-4344 | 2020-10-03 |
| 1023615101 | Kari J Sherrod | Technician | 1601 Us Highway 50, Marathon, OH 45118-8605 | 2020-10-02 |
| 1770190282 | Kimberly F Martin | Technician | 370 Nunner Rd, Maineville, OH 45039-8515 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CANTON |
| Zip Code | 44720 |
Please comment or provide details below to improve the information on MRS. PAMELA 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.