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

Kimberly Jane Lake, NP

Individual provider Family Nurse Practitioner · NPI 1821532250

Kimberly Jane Lake, NP is a Family Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

250 W 89th St Apt 11F
New York, NY 10024-1700
Phone: (917) 533-8301
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 341106 (NY)

Record details

NPI number1821532250
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 3, 2016
Last updated in NPPESDecember 3, 2016

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