Donna Ann Lake, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

276 Issued in NM

Practice address

1300 Camino Sierra Vis
BF Young Center
Santa Fe, NM 87505-1007

Phone

(505) 954-2504

NPI assigned

Mar 1, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Santa Fe Public Schools

  • Occupational Therapist
  • Santa Fe, NM
  • NPI 1902933500
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306974241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MACLOVIA LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053247",
            "telephone_number": "505-474-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CAMINO SIERRA VIS",
            "address_2": "BF YOUNG CENTER",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051007",
            "telephone_number": "505-954-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "DONNA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R7077",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Lacerva, MD
• Karen Lacey, M.S. CCC-SLP
• Michael John Lacey, RPH
• Damon Laemmle, SW
• Kathryn Rose Laintz
• Leslie E Lakind, D.D.S.
• Shirley Lam, HIS
• Hannah Lamar Gibson, DO
• Lamb Counseling Services, LLC
• Lambda Psychotherapy

• Occupational Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.