Brenda Kay Lake, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

349091 Issued in OH

Practice address

3717 Bay Rd
Erie, MI 48133-9404

Phone

(419) 297-4629

Fax

(734) 723-4001

NPI assigned

Jan 2, 2013

Last updated

Nov 29, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1326384835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 BAY RD",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339404",
            "telephone_number": "419-297-4629",
            "fax_number": "734-723-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 BAY RD",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339404",
            "telephone_number": "419-297-4629",
            "fax_number": "734-723-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "349091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel's Secret Transportation
• Family Medical Center of Michigan, Inc (Family Medical Center of Michigan-Mason High)
• Hollie Fortman
• Christine Gaeth
• Halli Ghesquire, MAT, AT, ATC
• Janet Lynn Lee, RN
• Kathleen Ann Mehl
• Shannon Reese
• Nicole Elizabeth Zmijewski

• Home Health Registered Nurse in Erie, MI
• Providers in Erie, MI by specialty
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.