Lakes Psychiatry LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

LAKES PSYCHIATRY LLC

Practice address

6303 Waterford District Dr Ste 400
Miami, FL 33126-6040

Phone

(786) 404-1575

NPI assigned

Jul 11, 2025

Organization subpart

No

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

Authorized official

Name

Ryan K Walker, PANPI 1184258279

Title

Owner/Physician Assistant

Phone

(786) 404-1575

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Walker, PA

  • Physician Assistant
  • Miami, FL
  • NPI 1184258279
  NPD Authorized official

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1528959145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 WATERFORD DISTRICT DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266040",
            "telephone_number": "786-404-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 WATERFORD DISTRICT DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266040",
            "telephone_number": "786-404-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "786-404-1575",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Catherine Holdings LLC (Bayside Post-Acute)
• Gaspar Dixan Lake Perez
• Michael Thomas Lake, M.D.
• Norma Salenah Lake, MD
• Rose Mary Lake
• Lakeside Neurology and Radiology
• Lakeview Alf, Corp.
• Lakeview Community Centers Inc
• Lakeview Senior Care Inc
• Shaheen Emmanuel Lakhan, MD, PHD, FAAN

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.