What is Jaci Lake's NPI number?

Jaci Lake's National Provider Identifier (NPI) is 1235776816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jaci Lake's specialty?

Jaci Lake is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Jaci Lake located?

Jaci Lake's practice location on file with NPPES is 432 N Pleasant Ave, Centralia, IL 62801-3006.

What is Jaci Lake's phone number?

The practice phone number listed in the NPPES registry for Jaci Lake is (618) 436-8114.

Is Jaci Lake's NPI active?

Yes — Jaci Lake's NPI (1235776816) is active in the NPPES registry as of the last update on 2019-12-03.

IndividualActive

Jaci Lake, RD

NPI 1235776816 · Registered Dietitian · Centralia, IL

Jaci Lake, RD is a Registered Dietitian provider in Centralia, IL (NPI 1235776816).

Provider details

NPI number: 1235776816
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: RD
Sex: Female
Sole proprietor: No
License: 164.006872 (IL)

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense 164.006872 (IL)
Dietary & Nutritional Service Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

432 N Pleasant Ave

Centralia, IL 62801-3006

Phone: (618) 436-8114

Street-level locationGet directions

More IL providers

Mailing address

7843 Coolidge Rd

Oakdale, IL 62268-1415

Additional practice locations (1)

5 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone: (618) 436-8114

Enumerated: 2019-12-03
Last updated: 2019-12-03

Frequently asked questions

What is Jaci Lake's NPI number?: Jaci Lake's National Provider Identifier (NPI) is 1235776816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jaci Lake's specialty?: Jaci Lake is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
Where is Jaci Lake located?: Jaci Lake's practice location on file with NPPES is 432 N Pleasant Ave, Centralia, IL 62801-3006.
What is Jaci Lake's phone number?: The practice phone number listed in the NPPES registry for Jaci Lake is (618) 436-8114.
Is Jaci Lake's NPI active?: Yes — Jaci Lake's NPI (1235776816) is active in the NPPES registry as of the last update on 2019-12-03.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.