Natalie J Lake, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

59280 Issued in AZ

Practice address

750 N Estrella Pkwy Ste 40
Goodyear, AZ 85338-9279

Phone

(623) 889-3477

Fax

(623) 889-3478

NPI assigned

Dec 26, 2006

Last updated

May 6, 2026By 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 3

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Uniformed Services Uhs Fe Hebert School of Med, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care Az CS PCGroup PAC ID 6800318049, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: natalie.lake.1@29601.direct.athenahealth.com

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.

• Centerwell Senior Primary Care Az CS PC

  dba CenterWell Senior Primary Care-Estrella

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1255167417
  Medicare reassignment Care Compare group
• Healthy Life Family Medicine, PLC

  • Primary Care Clinic/Center
  • Goodyear, AZ
  • NPI 1750416400
  Medicare reassignment NPD
• Doctors on Duty Medical Group, Inc

  • Urgent Care Clinic/Center
  • Salinas, CA
  • NPI 1568465466
  Medicare reassignment NPD
• Marina Doctors on Duty

  • Non-Pharmacy Dispensing Site
  • Marina, CA
  • NPI 1457793275
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1912062480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5204",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380603",
            "telephone_number": "623-889-3477",
            "fax_number": "623-889-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY STE 40",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389279",
            "telephone_number": "623-889-3477",
            "fax_number": "623-889-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1756 N Main St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939065103",
            "country_code": "US",
            "telephone_number": "831-443-8200",
            "fax_number": "831-449-3493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14749 W Mountain View Blvd Ste 138",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742704",
            "country_code": "US",
            "telephone_number": "623-289-1256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "NATALIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C134094",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "59280",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D73655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441188900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "953BAN97701301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01208435",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K6400010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "606897000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natalie.lake.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "14749 W Mountain View Blvd Ste 138",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853742704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• La Laser Center PC, a Professional Medical Corporation (Goodyear Dermatology & Skin Cancer)
• La Laser Center PC, a Professional Medical Corporation (Skin and Cancer Institute - Goodyear)
• Lab Express Inc
• Zachary Labounty
• Ashish Labroo, DO
• Rhonda Katherine Lake, LAC
• Patrick Lam, DO
• Summer Lang, RN, IBCLC
• Katina Lashun Langley, RD
• Ashley Lynn Lanier, RPH

• Family Medicine Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.