Abbigail Emilie Lake, MS/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPLPA00210182 Issued in KY

Practice address

1820 Oakview Rd
Ashland, KY 41101-3677

Phone

(606) 325-5200

NPI assigned

Sep 24, 2014

Last updated

Sep 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Abbigail Emilie Stewart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1790187409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "877-508-3237",
            "fax_number": "877-508-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 OAKVIEW RD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411013677",
            "telephone_number": "606-325-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ABBIGAIL",
        "middle_name": "EMILIE",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "SLPLPA00210182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBIGAIL",
            "last_name": "STEWART",
            "middle_name": "EMILIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mena Kualleny
• Eric W Kutcher, CRNA
• Anthony Kuzak
• Judie Marie Kwolek, M.D.
• Ky Doctors of Optometry, PLLC (KY Doctors of Optometry)
• Shirley A Lambert, CRNA
• Tonya Lambert
• Scott Jerome Lance, M.D.
• Aaron Larkins
• Paula K Larsen, MD

• Speech-Language Pathologist in Ashland, KY
• Providers in Ashland, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.