Jennifer Lake

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

1713 Keller Lake Dr
Burnsville, MN 55306-6376

Phone

(952) 923-0698

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1538072483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 KELLER LAKE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066376",
            "telephone_number": "952-923-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 KELLER LAKE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066376",
            "telephone_number": "952-923-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Lager, DPT
• Julia Jane Lagos
• Yeawah Bernadette Lucy Lahai
• Tiana Laino
• Catherine Lake
• Lakes Dermatology, PA
• James D Lakin, M.D., PH.D., M.B.A.
• Savannah Christine Lakose
• Lambo Therapy LLC
• Cynthia Fay Landis, MA CCC SLP

• Adult Care Home Facility in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.