Individual provider Active NPI

Nancy Nyberg-Lake, ARNP

  • Endocrinology, Diabetes & Metabolism Physician
  • Nashua, NH
National Provider Identifier
1700845534
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
051359-12 Issued in NH
Practice address
5 Coliseum Ave
Suite 209
Nashua, NH 03063-3206
Phone
(603) 881-7141
Fax
(603) 880-7221
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 051359-12 NH Primary

Addresses

Primary practice location

5 Coliseum Ave
Suite 209
Nashua, NH 03063-3206

Mailing address

5 Coliseum Ave
Suite 209
Nashua, NH 03063-3206
Phone (603) 881-7141

Other identifiers 2

IdentifierTypeStateIssuer
9598234OtherNHCIGNA HEALTHCARE
40Y008491NH01OtherNHANTHEM BC/BS

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
051359-12NHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a Levine, MD Endocrinology, Diabetes & Metabolism PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700845534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "address_2": "SUITE 209",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "603-881-7141",
            "fax_number": "603-880-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "address_2": "SUITE 209",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "603-881-7141",
            "fax_number": "603-880-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG-LAKE",
        "first_name": "NANCY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NH",
            "license": "051359-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "9598234",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "40Y008491NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.