Stacy Lake, ATC
Athletic Trainer · Fort Wayne, IN
Stacy Lake, ATC is an athletic trainer with a practice address in Fort Wayne, Indiana, and NPI 1912274663, issued on Nov 23, 2011. Check the license (Indiana 36000573A, as entered in NPPES) with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Stacy Lake
- Credential
- ATC
- Primary taxonomy
- Athletic Trainer 2255A2300X
- License number
- 36000573A IN
Self-reported in NPPES; status is on the state search - Practice location
- 14730 Pulver RD, Fort Wayne, IN 46845
- Phone
- (260) 413-6770
- Enumerated
- Nov 23, 2011
- Entity
- Type 1 · individual
Verify Stacy Lake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 36000573ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
200 athletic trainer records list a Fort Wayne practice address
They are 200 of the 9,203 NPPES records with a Fort Wayne practice address, and 1,757 athletic trainer records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 200 in Fort Wayne → All 1,757 in Indiana → Every provider in Fort Wayne →
Other athletic trainer records in Indiana
- Janelle AbarcaFranklin, IN1013547678
- Erin Abrams, ATC, LATRushville, IN1154728822
- Sara AbramsLafayette, IN1801293758
- Nathaniel Acree, PA-CWest Lafayette, IN1013453927
- Amanda Adams, ATC, LATIndianapolis, IN1376943787
- Heather Adams, LAT, ATCTerre Haute, IN1174839419
- Matthew Adams, LAT, ATCBloomington, IN1912566092
- Kylee Adrianson, ATCGas City, IN1699407676
- Willard Agnew, MS, ATCNotre Dame, IN1013142538
- William AguiarWest Lafayette, IN1881251452
Common questions
What is Stacy Lake, ATC's NPI number?
Stacy Lake, ATC's National Provider Identifier (NPI) is 1912274663, issued on Nov 23, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Stacy Lake, ATC located?
The NPPES record lists a practice address at 14730 Pulver RD, Fort Wayne, IN, 46845. Phone: (260) 413-6770. Providers update this record themselves, so call before visiting.
How can I verify Stacy Lake, ATC's license?
NPPES lists Indiana license number 36000573A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.