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

MS. Kathryn I. Lake, APRN

Individual provider Nurse Practitioner · NPI 1962634980

MS. Kathryn I. Lake, APRN is a Nurse Practitioner in Parrish, Florida. Qualified in 2009, 17 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
17
Licensed in
FL, SC
In the registry since
2009
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

8342 US Highway 301 N
Parrish, FL 34219-8653
Phone: (941) 729-4400
Fax: (941) 729-4424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9476735 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN9476735 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3968 (SC)

Record details

NPI number1962634980
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 10, 2009
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Parrish