Kayse Lee Lake, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD.0000710 Issued in CO

Practice address

1266 Escalante Dr
Suite 201
Durango, CO 81303

Phone

(970) 253-5303

Fax

(970) 259-3510

NPI assigned

Apr 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four Corners Foot and Ankle PCGroup PAC ID 9931349347, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Animas Surgical Hospital, LLC Hospital, Durango, CO, CCN 060117

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayselake@fcfaap-co1.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Four Corners Foot and Ankle P.C.

  • Podiatrist
  • Durango, CO
  • NPI 1629416342

  NM

  Medicare reassignment Care Compare group NPD Authorized official
• Foot & Ankle Center of Colorado Springs

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
  • NPI 1396560017
  Medicare reassignment NPD Authorized official
• Four Corners Foot and Ankle P.C.

  • Durable Medical Equipment & Medical Supplies
  • Farmington, NM
  • NPI 1801209499
  NPD Authorized official
• Stilwell Foot and Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Durango, CO
  • NPI 1861643819
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Utah Navajo Health System, Incorporated

  dba Blanding Family Practice Community Health Center

  • Family Medicine Physician
  • Blanding, UT
  • NPI 1457489486
  NPD (past)
• Utah Navajo Health System, Incorporated

  • Land Ambulance
  • Montezuma Creek, UT
  • NPI 1598198434
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Animas Surgical Hospital, LLC

  dba Animas Internal Medicine

  • Internal Medicine Physician
  • Durango, CO
  • NPI 1184178238

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  dba Animas Urgent Care

  • Urgent Care Clinic/Center
  • Durango, CO
  • NPI 1194161422

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  dba Animas Occupational Medicine

  • Occupational Medicine Physician
  • Durango, CO
  • NPI 1497071435

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  dba Animas Surgical Hospital

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1508842964
  Care Compare affiliation

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1366686800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR",
            "address_2": "SUITE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-259-5303",
            "fax_number": "970-253-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR",
            "address_2": "SUITE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-253-5303",
            "fax_number": "970-259-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Farmington Ave Bldg C-1",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874014550",
            "country_code": "US",
            "telephone_number": "505-218-7622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "KAYSE",
        "middle_name": "LEE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "POD348",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "710",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "348",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "5063880-0501",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000710",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "5063880-0501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07501552",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton Thomas Labaume, PA
• Laboratory Corporation of America
• Laboratory Corporation of America
• William Earl Lacey Jr., DMD
• Ginny Ann Laidler, RN
• Susan D Lake, RN
• Tierney A Lake, MD
• Margaret Landrum
• Nicole Landrus, CAS
• Laplata Urological Associates PC

• Podiatrist in Durango, CO
• Providers in Durango, CO by specialty
• Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.