Katherine Lake, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

87154 Issued in NM

Practice address

4337 E Main St Ste 202
Farmington, NM 87402-8634

Phone

(505) 326-1623

NPI assigned

Dec 16, 2025

Last updated

Dec 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pelle Laser Spa

  dba Pelle Spa

  • Women's Health Nurse Practitioner
  • Farmington, NM
  • NPI 1326885039
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1184589848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 E MAIN ST STE 202",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028634",
            "telephone_number": "505-326-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 E MAIN ST STE 202",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028634",
            "telephone_number": "505-326-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "KATHERINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "87154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Mesa Chiropractic and Rehabilitation Center Inc.
• La Plata Medical Examiners
• Hailey Lagasse
• Jaren Lagreca, M.D.
• Rick Laird, MAPC
• Franklin Lam, M.D.
• Jamie Lynn Landry
• Kathryn Ann Langmuir, APRN-CNP
• Erica Lankenau, PA
• Richard Anthony Lanzi, MD

• Family Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.