Active NPI
Janet L Lake, RD, LD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1679864615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81812
- Practice address
- 5811 Mesa Dr
#821
Austin, TX 78731-3780 - Phone
- (512) 947-2300
- NPI assigned
- Apr 25, 2011
- Last updated
- Apr 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT81812 | TX | Primary |
Addresses
Primary practice location
5811 Mesa Dr
#821
Austin, TX 78731-3780
Mailing address
5811 Mesa Dr
#821
Austin, TX 78731-3780
Phone (512) 947-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81812 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1679864615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 MESA DR",
"address_2": "#821",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313780",
"telephone_number": "512-947-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5811 MESA DR",
"address_2": "#821",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313780",
"telephone_number": "512-947-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "JANET",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Lake Travis MD PLLC (ATX Wellness Co.)
- Lake Travis Pharmacy Partners (Lake Hills Pharmacy)
- Lake Travis Pharmacy Partners LLC (Lake Hills Pharmacy)
- Lake Travis Pharmacy Partners, LLC (Lake Hills Pharmacy)
- Elizabeth Maxwell Lake, MSC
- Marion Elizabeth Lake, PT
- Natalie Jane Lake, C.P.M., L.M.
- Tanya Lake
- Lakecreek Family Dental (Lakecreek Family Dental Care and Orthodontics)
- Lakeline Ranch Dental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.