Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Lake, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1548290166

Anthony Lake, NP is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2002, 24 years ago. Practices with Pathways of Tennessee Inc, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
24
Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

238 Summar Dr
Jackson, TN 38301-3906
Phone: (731) 935-8200
Fax: (731) 935-8327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6581 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 6581 (TN)

Record details

NPI number1548290166
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESOctober 29, 2014
Mailing address1804 Highway 45 Byp, Ste 604, Jackson, TN 38305-4436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Pathways Of Tennessee Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jackson