Active NPI
Amy Lake
- Registered Dietitian
- Santa Barbara, CA
National Provider Identifier
1366970261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86081997
- Practice address
- 220 Alameda Padre Serra
Santa Barbara, CA 93103-2806 - Phone
- (916) 402-9119
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86081997 | CA | Primary |
Addresses
Primary practice location
220 Alameda Padre Serra
Santa Barbara, CA 93103-2806
Mailing address
220 Alameda Padre Serra
Santa Barbara, CA 93103-2806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86081997 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1366970261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ALAMEDA PADRE SERRA",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931032806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ALAMEDA PADRE SERRA",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931032806",
"telephone_number": "916-402-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86081997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.