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

Faminda T Lake, FAMINDA

Individual provider Registered Nurse · NPI 1669010518

Faminda T Lake, FAMINDA is a Certified Registered Nurse Anesthetist (CRNA) in Falls Church, Virginia. Qualified in 2019, 7 years ago. Practices with Northstar Anesthesia of Virginia, LLC, a 409-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-2632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024178894 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001269149 (VA)

Record details

NPI number1669010518
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMINDA
Sole proprietorNo
NPI enumeratedDecember 11, 2019
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northstar Anesthesia Of Virginia, Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Falls Church