IndividualActive
Kennady Lake, AAC, CPC
NPI 1619747649 · Peer Specialist · Longview, WA
Kennady Lake, AAC, CPC is a Peer Specialist provider in Longview, WA (NPI 1619747649).
Provider details
- NPI number
- 1619747649
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- AAC, CPC
- Sex
- Female
- Sole proprietor
- No
- License
- CG61505391 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1400 Commerce Ave
Longview, WA 98632-3756
Phone: (360) 998-2047
Fax: (360) 200-6736
Street-level locationGet directions
Mailing address
Po Box 2394
Longview, WA 98632-8455
Registry dates
- Enumerated
- 2024-01-02
- Last updated
- 2024-01-02
- Certified
- 2024-01-02
Frequently asked questions
- What is Kennady Lake's NPI number?
- Kennady Lake's National Provider Identifier (NPI) is 1619747649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennady Lake's specialty?
- Kennady Lake is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Kennady Lake located?
- Kennady Lake's practice location on file with NPPES is 1400 Commerce Ave, Longview, WA 98632-3756.
- What is Kennady Lake's phone number?
- The practice phone number listed in the NPPES registry for Kennady Lake is (360) 998-2047.
- Is Kennady Lake's NPI active?
- Yes — Kennady Lake's NPI (1619747649) is active in the NPPES registry as of the last update on 2024-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.