Faith Arleen Lake, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

016 Issued in VI

Practice address

9048 Sugar Estate
St Thomas, VI 00802

Phone

(340) 714-3278

Fax

(340) 714-3279

NPI assigned

Oct 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1376731216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7354",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008010354",
            "telephone_number": "340-714-3278",
            "fax_number": "340-714-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9048 SUGAR ESTATE",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-714-3278",
            "fax_number": "340-714-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "FAITH",
        "middle_name": "ARLEEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VI",
            "license": "016",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VI",
            "license": "016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "016",
            "state": "VI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "363A00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lawrence N Goldman MD PC
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• Aaron Leonard
• Charlotte Xiaominlu Leonard, OTD, OTR/L

• Medical Physician Assistant in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Medical Physician Assistant in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.