Tiffany Lake

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

908 Purchase St Ste 308
New Bedford, MA 02740-6234

Phone

(617) 750-6071

NPI assigned

Sep 13, 2024

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

Other names 1

• Tiff Lake Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1346076403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 PURCHASE ST STE 308",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406234",
            "telephone_number": "617-750-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 PURCHASE ST STE 308",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406234",
            "telephone_number": "617-750-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFF",
            "last_name": "LAKE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sharon Lynn Lacroix, LICSW
• Emma Lagasse, OTR/L
• Rachel Lajoie
• Heather Lake, RN
• Isaac Zintel Lake
• Myra Lall, M.A.
• Diane Rhoda Lally
• Lamade Psychological Services, P.C.
• Raina V Lamade, PH.D.
• Emily Lancaster

• Peer Specialist in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Peer Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.