IndividualActive
Shane Lake
NPI 1588135008 · Community Health Worker · Bethel, AK
Shane Lake is a Community Health Worker provider in Bethel, AK (NPI 1588135008).
Provider details
- NPI number
- 1588135008
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
829 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Phone: (907) 543-6100
Street-level locationGet directions
Mailing address
Po Box 528
Bethel, AK 99559-0528
Registry dates
- Enumerated
- 2018-12-10
- Last updated
- 2018-12-10
Frequently asked questions
- What is Shane Lake's NPI number?
- Shane Lake's National Provider Identifier (NPI) is 1588135008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Lake's specialty?
- Shane Lake is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Shane Lake located?
- Shane Lake's practice location on file with NPPES is 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559.
- What is Shane Lake's phone number?
- The practice phone number listed in the NPPES registry for Shane Lake is (907) 543-6100.
- Is Shane Lake's NPI active?
- Yes — Shane Lake's NPI (1588135008) is active in the NPPES registry as of the last update on 2018-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.