AMY LAKE (NPI# 1962966341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962966341 |
| Entity Type | Individual |
| Full Name | AMY LAKE |
| Credential | NP |
| Practice Address |
7120 Clearvista Dr Ste 4000 Indianapolis IN 46256-1774 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176217444 |
| Practice Fax Number | 3176213150 |
| Mailing Telephone | 3176217547 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28191217A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008912A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300024589 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366970261 | Amy Lake | Dietitian, Registered | 220 Alameda Padre Serra, Santa Barbara, CA 93103-2806 | 2017-05-23 |
| 1265098511 | Amy Jean Lake | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2019-05-13 |
| 1609354943 | Amy Lake | Speech-Language Pathologist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2018-07-30 |
| 1750645628 | Amy Lake | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2012-06-26 |
| 1518011402 | Amy R Lake | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2007-01-22 |
| Street Address |
7120 CLEARVISTA DR STE 4000 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595013 | Kathleen Bemenderfer | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256-1774 | 2005-11-16 |
| 1821644568 | Penny Sokol | Nurse Practitioner | 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256-1774 | 2019-08-16 |
| 1063869220 | Julia Collins Kearney | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256-1774 | 2016-05-18 |
| 1518352830 | Greta Weaver | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256-1774 | 2015-04-02 |
| 1467865469 | Emily Elaine Tenbrink | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256 | 2014-06-06 |
| 1477865483 | Diana M Patterson | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256-1774 | 2010-07-07 |
| 1063466944 | Thomas A Ferrara | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 4000, Indianapolis, IN 46256-1774 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
Please comment or provide details below to improve the information on AMY 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.