Katie R. Lake

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

2969 Issued in MT

Practice address

308 Mission Drive
St Ignatius, MT 59864

Phone

(406) 745-3575

Fax

(406) 745-4233

NPI assigned

May 6, 2010

Last updated

May 6, 2010By 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

Other names 1

• Katie R. Cheff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Confederated Salish and Kootenai Tribes of the Flathead Reservation

  • Federally Qualified Health Center (FQHC)
  • St Ignatius, MT
  • NPI 1952402208
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1669790200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 880",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "59865",
            "telephone_number": "406-745-3525",
            "fax_number": "406-745-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MISSION DRIVE",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "59864",
            "telephone_number": "406-745-3575",
            "fax_number": "406-745-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "KATIE",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MT",
            "license": "2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "CHEFF",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin M. Johnson, PHARM D
• Kyle Johnson, PHARMD
• Ellen R. Kaphammer, R.N.
• Koinonia
• Jason Krumbeck, PT
• Richard Mark Larson
• Jeremy Eugene Lee
• Violet Lewis, RN
• Anne Dannis Lowe, L.C.S.W.
• Jamie L. Lozeau, R.N.

• Radiologic Technologist in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Radiologic Technologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.