LAKE MED, PLLC
NPI 1356111728
Nurse Practitioner - Family in Winchester, TN

Q: What is Lake Med, PLLC's NPI number?

The NPI number for Lake Med, PLLC is 1356111728. It was assigned to this organization in the NPPES registry on January 5, 2024.

Q: What is Lake Med, PLLC'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 Lake Med, PLLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 January 05, 2024CLIA 44D2297804 · Waiver

615 RIVER WATCH WAY, WINCHESTER, TN 37398(931) 998-2915(931) 998-2915 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lake Med, Pllc NPPES

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

LAKE MED, PLLC (NPI 1356111728) is a healthcare organization registered as a family in Winchester, Tennessee and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Amy Lynn Richardson, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1356111728

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameLAKE MED, PLLC

Location Address615 RIVER WATCH WAYWinchester, TN 37398-3506

Mailing Address615 River Watch WayWinchester, TN 37398-3506 · (931) 998-2915 · Fax (931) 998-2915

Phone(931) 998-2915

Fax(931) 998-2915

Organization SubpartNo

Authorized OfficialAmy Lynn RichardsonNurse Practitioner/owner · (931) 998-2915

Enumeration DateJanuary 5, 2024

NPPES CertifiedJanuary 5, 2024

✔ NPI 1356111728 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

615 RIVER WATCH WAY, Winchester, TN 37398

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2297804

Lake Med, PLLC · Winchester, TN

Active · expires Jan 22, 2028

CLIA Number44D2297804

Laboratory TypePhysician Office

Certificate Effective DateJanuary 23, 2026

Certificate Expiration DateJanuary 22, 2028

Laboratory DirectorAmy L. Richardson

Laboratory Phone(931) 998-2915

Laboratory LocationLake Med, PLLC906 Dinah Shore Blvd, Suite 102, Winchester, TN 37398

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AMY LYNN RICHARDSON NP-C

Nurse Practitioner (Family)

615 RIVER WATCH WAY
WINCHESTER, TN 37398

Franklin County (931) 998-2915

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 Lake Med, PLLC's NPI number?

The NPI number for Lake Med, PLLC is 1356111728. It was assigned to this organization in the NPPES registry on January 5, 2024.

Where is Lake Med, PLLC located?

Lake Med, PLLC is located at 615 River Watch Way, Winchester, TN 37398. The listed phone number is (931) 998-2915.

What is Lake Med, PLLC's specialty?

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

Does Lake Med, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2297804) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Med, PLLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.