Abigail Diane Lake
DNP, PMHNP-BC
Nurse Practitioner - Psychiatric/Mental Health
About Abigail Diane Lake
Abigail Diane Lake, DNP, PMHNP-BC, is a female healthcare professional specializing in Nurse Practitioner - Psychiatric/Mental Health with a focus on Psychiatric/Mental Health, registered under National Provider Identifier (NPI) number 1730669409.
Abigail Diane Lake received her medical education at OTHER, graduating in 2023. Their primary practice is located at 8616 NORTHERN AVE, Rockford, Illinois 61107. Patients can reach the office at (815) 399-9700.
Abigail Diane Lake is enrolled in Medicare and accepts Medicare patients, offers telehealth services for remote virtual consultations, is authorized to order and refer Medicare services. Abigail Diane Lake has been NPI-registered since 2018.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1730669409
- Entity Type
- Individual
- First Name
- Abigail
- Last Name
- Lake
- Credential
- DNP, PMHNP-BC
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2023
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 8616 NORTHERN AVE
- City
- Rockford
- State
- Illinois
- ZIP
- 61107-5309
- Country
- United States
- Phone
- (815) 399-9700
- Fax
- (815) 394-1401
Specialty & Taxonomy
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Classification
- Nurse Practitioner
- Specialization
- Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 1021 N MULFORD RD
- City
- ROCKFORD
- State
- IL
- ZIP
- 611073877
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- Yes
- Excluded
- No
Frequently Asked Questions
What is Abigail Diane Lake's NPI number?
What does Abigail Diane Lake specialize in?
Where is Abigail Diane Lake located?
Does Abigail Diane Lake accept Medicare?
Does Abigail Diane Lake offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Abigail Diane Lake is 1730669409.