Stacy Lake, ATC
NPI 1912274663 · Athletic Trainer · Fort Wayne, IN
Stacy Lake, ATC is a Athletic Trainer provider in Fort Wayne, IN (NPI 1912274663).
Provider details
- NPI number
- 1912274663
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 36000573A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2011-11-23
- Last updated
- 2011-11-23
Frequently asked questions
- What is Stacy Lake's NPI number?
- Stacy Lake's National Provider Identifier (NPI) is 1912274663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Lake's specialty?
- Stacy Lake is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Stacy Lake located?
- Stacy Lake's practice location on file with NPPES is 14730 Pulver Rd, Fort Wayne, IN 46845-9629.
- What is Stacy Lake's phone number?
- The practice phone number listed in the NPPES registry for Stacy Lake is (260) 413-6770.
- Is Stacy Lake's NPI active?
- Yes — Stacy Lake's NPI (1912274663) is active in the NPPES registry as of the last update on 2011-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.