Sarah Nicole Lake
Peer Specialist in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1023988979
StatusActive
Last updated in NPPESNov 6, 2025
Details
- NPI
- 1023988979
- Entity type
- Individual (NPI-1)
- Name
- Sarah Nicole Lake
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2025
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OK | Yes |
Practice location
1405 N Rockwell Ave Apt EOklahoma City, OK 73127-3356
Phone 405-235-5671
Mailing address
1405 N Rockwell Ave Apt EOklahoma City, OK 73127-3356
Phone 405-235-5671
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,088 Peer Specialist providers in Oklahoma City · All 27,799 providers in Oklahoma City
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