Serawet Lake

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

36572791 Issued in TX

Practice address

13917 Heywood Dr
Pflugerville, TX 78660-6125

Phone

(512) 785-9487

NPI assigned

May 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Lake S & S LLC

  • Secured Medical Transport (VAN)
  • Pflugerville, TX
  • NPI 1306520796
  NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1932892767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 HEYWOOD DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606125",
            "telephone_number": "512-785-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13917 HEYWOOD DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606125",
            "telephone_number": "512-785-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "SERAWET",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": "36572791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayasree Krishnankutty, PA-C
• Alicia Kunkel, M.S., CCC-SLP
• Jennifer La, DDS
• Paula Labastida
• Lake S & S LLC
• Lamar Medical Suppliers LLC
• John Lambert
• Caitlyn Lammons
• Ty Christopher Landry, LPC
• Ashley Nicole Langell, MS, MD

• Secured Medical Transport (VAN) in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.