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

Carissa A Webster-Lake, MD

Individual provider Surgery Physician · NPI 1134448269

Carissa A Webster-Lake, MD is a Vascular Surgery in West Hartford, Connecticut. Qualified in 2010, 16 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, Tennessee and Virginia.

Years since qualifying
16
Licensed in
CT, TN, VA
In the registry since
2010
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2550 Albany Ave # 1056
West Hartford, CT 06117-2335
Phone: (617) 869-0135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 J Clyde Morris Blvd # 603, Newport News, VA 23601-1929 — (757) 534-5340

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 59921 (TN)
Surgery Physician Taxonomy 208600000X · Licence 54698 (CT)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 54698 (CT)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 0101279557 (VA)

Record details

NPI number1134448269
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2010
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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