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

MS. Jessica Elaine Lake, MS, RDN, LD

Individual provider Registered Dietitian · NPI 1154910214

MS. Jessica Elaine Lake, MS, RDN, LD is a Registered Dietitian OR Nutrition Professional in Erie, Pennsylvania. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Ohio and Pennsylvania.

Years since qualifying
6
Licensed in
OH, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

3910 Caughey Rd Ste 200
Erie, PA 16506-4098
Phone: (814) 580-8808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9345 Lake Pleasant Rd, Erie, PA 16509-5755 — (814) 580-8808

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN007374 (PA)
Registered Dietitian Taxonomy 133V00000X · Licence LD.09340 (OH)

Record details

NPI number1154910214
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LD
Sole proprietorNo
NPI enumeratedJanuary 13, 2021
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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