KATHERINE LAKE CNP
NPI 1184589848
Nurse Practitioner - Family in Farmington, NM

Q: What is Katherine Lake's NPI number?

The NPI number for Katherine Lake is 1184589848. It was assigned to this individual provider in the NPPES registry on December 16, 2025.

Q: What is Katherine Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Lake was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 16, 2025

4337 E MAIN ST STE 202, FARMINGTON, NM 87402(505) 326-1623 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katherine Lake Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE LAKE CNP (NPI 1184589848) is an individual family provider in Farmington, New Mexico, licensed in New Mexico (87154) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1184589848

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHERINE LAKECredential: CNP

Location Address4337 E MAIN ST STE 202Farmington, NM 87402-8634

Mailing Address4337 E Main St Ste 202Farmington, NM 87402-8634 · (505) 326-1623

Phone(505) 326-1623

Sole ProprietorNo

Enumeration DateDecember 16, 2025

NPPES CertifiedDecember 16, 2025

✔ NPI 1184589848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NM · 87154

4337 E MAIN ST STE 202, Farmington, NM 87402

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMI OLGUIN NP

Nurse Practitioner (Family)

4337 E MAIN ST STE 202
FARMINGTON, NM 87402

San Juan County (505) 326-1623

PELLE LASER SPA

Nurse Practitioner (Women's Health)

4337 E MAIN ST STE 202
FARMINGTON, NM 87402

San Juan County (505) 326-1623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Lake's NPI number?

The NPI number for Katherine Lake is 1184589848. It was assigned to this individual provider in the NPPES registry on December 16, 2025.

Where is Katherine Lake located?

Katherine Lake practices at 4337 E Main St Ste 202, Farmington, NM 87402. The listed phone number is (505) 326-1623.

What is Katherine Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Katherine Lake was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.