CARISSA LYNN LAKE MS ED
NPI 1376805275
Specialist in Troy, NY

Active since June 15, 2012

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Lynn Lake Ms Ed NPPES

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

CARISSA LYNN LAKE MS ED (NPI 1376805275) is an individual specialist in Troy, New York, licensed in New York (484706101) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1376805275
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCARISSA LYNN LAKECredential: MS ED
Location Address2247 13TH STTroy, NY 12180-3017
Mailing Address5 Latham RdCastleton, NY 12033-1103 · (518) 269-2705
Sole ProprietorYes
Enumeration DateJune 15, 2012
NPI 1376805275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 484706101
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2247 13TH ST, Troy, NY 12180

Other Names 1

Former Name (1)Carissa Lynn Lake

Other Providers at the Same Location NPPES 8

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

Specialist
2247 13TH ST
TROY, NY 12180
Speech-Language Pathologist
2247 13TH ST
TROY, NY 12180
Specialist
2247 13TH ST
TROY, NY 12180
Specialist
2247 13TH ST
TROY, NY 12180
Early Intervention Provider Agency
2247 13TH ST
TROY, NY 12180
Specialist
2247 13TH ST
TROY, NY 12180
Specialist
2247 13TH ST
TROY, NY 12180
Specialist
2247 13TH ST
TROY, NY 12180

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 Carissa Lake's NPI number?

The NPI number for Carissa Lake is 1376805275. It was assigned to this individual provider in the NPPES registry on June 15, 2012. The provider is also known as Carissa Lynn Lake.

Where is Carissa Lake located?

Carissa Lake practices at 2247 13th St, Troy, NY 12180. The listed phone number is (518) 273-1586.

What is Carissa Lake's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Carissa Lake was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.