Donna B Lake, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

239 Court Ave
Weston, WV 26452-2099

Phone

(304) 624-6554

Fax

(304) 624-5223

NPI assigned

Mar 4, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Lewis County Board of Education

  • Local Education Agency (LEA)
  • Weston, WV
  • NPI 1336318211
  NPD (past)
• Lewis County Board of Education

  • Local Education Agency (LEA)
  • Weston, WV
  • NPI 1801072467
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1407026693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 COURT AVE",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522099",
            "telephone_number": "304-624-6554",
            "fax_number": "304-624-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 COURT AVE",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522099",
            "telephone_number": "304-624-6554",
            "fax_number": "304-624-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "DONNA",
        "middle_name": "B",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152685000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryanna Killian
• Jessica Kirkpatrick
• Sara Knotts
• Abigail Kozlowski, MOT
• Kroger Limited Partnership I
• Andrew B Lamkin
• Brenda Sue Lamkin
• Holly L Lantz, AU.D., F-AAA
• Tamela Jo Lantz
• Kasie Larsen

• All providers in Weston, WV
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.