Daje Lake

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

2105 NW 24TH Rd
Ocala, FL 34475-4865

Phone

(352) 258-7330

NPI assigned

Aug 10, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Gawdy LLC

  • Prosthetic/Orthotic Supplier
  • Ocala, FL
  • NPI 1649922428
  NPD Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1992315410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 NW 24TH RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344754865",
            "telephone_number": "352-509-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 NW 24TH RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344754865",
            "telephone_number": "352-258-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7334 NE Jacksonville Rd Apt 240A",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344798330",
            "country_code": "US",
            "telephone_number": "352-258-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "DAJE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Lainhart
• Winifred Juanita Laird, RN
• Abraham Jossue Lajara, M.D
• Susan Lakatos, ARNP
• Lake County Anesthesia Associates PLLC
• Suresh Lakshminarayanan, M.D.
• Axcelle Lalanne
• Hannah Lalgie
• Hubert Lam, DO
• Julie Lam, PA-C

• Prosthetist in Ocala, FL
• Providers in Ocala, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.