DAJE LAKE (NPI# 1992315410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992315410 |
| Entity Type | Individual |
| Full Name | DAJE LAKE |
| Practice Address |
2105 Nw 24th Rd Ocala FL 34475-4865 |
| Practice Telephone | 3522587330 |
| Mailing Telephone | 3525096359 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7334 Ne Jacksonville Rd Apt 240a, Ocala, FL 344798330 | 3522587330 |
| Street Address |
2105 NW 24TH RD |
| City | OCALA |
| State | FL |
| Zip Code | 34475-4865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993600 | Jacquelyn E Howard | Registered Nurse | 2105 Nw 24th Rd, Ocala, FL 34475-4865 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342122 | Gallo Enterprises | Non-emergency Medical Transport (VAN) | 3951 Nw Blitchton Road, Ocala, FL 34475 | 2018-07-17 |
| 1376059642 | Samantha Denise Gray | Behavior Technician | 3856 W Anthony Rd, Ocala, FL 34475 | 2017-12-21 |
| 1487160008 | Leslie Grace Hemp | Behavior Technician | 3856 West Anthony Rd, Ocala, FL 34475 | 2017-12-19 |
| 1154855005 | Homehealth | Home Health | 1717 Nw Pine Avenue, Ocala, FL 34475 | 2017-04-18 |
| 1356883672 | Fifth Circuit Pulic Guardian Corp. | Case Management | 110 Nw 1st St, Courthouse, Ocala, FL 34475 | 2016-11-17 |
| 1003295940 | Open Arms | Home Health Aide | 6775 Nw 6th Ave, Ocala, FL 34475 | 2015-05-26 |
| 1902206121 | Jessica Beylotte | Home Health | 100 Nw 23rd Ave Apt 1101, Ocala, FL 34475 | 2014-08-25 |
| 1306101472 | Shywhann Denise Gray | Licensed Practical Nurse | 2418nw 18th St., Ocala, FL 34475 | 2012-07-05 |
| 1831327162 | Wendy Dawn Sprouse | Counselor | 717 Martin Luther King Jr Avenue, Ocala, FL 34475 | 2009-06-25 |
| 1083835128 | Leslie Therese Shutack | Physical Therapy Assistant | 6658 Nw 4th Ave, Ocala, FL 34475 | 2007-05-02 |
| Find all providers in zip 34475 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114407566 | Ralph Juliano | Prosthetist | 2300 Se 17th St Ste 401, Ocala, FL 34471-9140 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1588279434 | Kourtney James | Prosthetist | 715 Lori Dr Apt 304, Palm Springs, FL 33461-7104 | 2020-09-08 |
| 1750910790 | Gabriela Jamur | Prosthetist | 11308 Bonita Beach Rd Se Ste 105-a, Bonita Springs, FL 34135-5912 | 2020-04-02 |
| 1013543701 | Kateau Cerisme | Prosthetist | 320 N Magnolia Ave, Orlando, FL 32801-1624 | 2020-03-13 |
| 1780217174 | Amber Baker | Prosthetist | 1340 Naples Cir Apt 309, Rockledge, FL 32955-2577 | 2020-02-13 |
| 1992336192 | Antakeisha Lavonte Hepburn | Prosthetist | 2326 Nw 51st St, Miami, FL 33142-3677 | 2020-01-28 |
| 1164067211 | Rayna K Bradley | Prosthetist | 148 Lake Ave, Maitland, FL 32751-6424 | 2019-11-13 |
| 1376001982 | Kerryann Williams | Prosthetist | 6515 Nw 1st St, Margate, FL 33063-5101 | 2019-03-04 |
| 1528526126 | Latoya Patrick | Prosthetist | 11361 Sheffield Rd, Spring Hill, FL 34608-2260 | 2019-03-04 |
| 1275091878 | Debbie Denizard | Prosthetist | 9560 Lem Turner Rd, Jacksonville, FL 32208-7501 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
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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.