Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jennifer A Lake, MD

Family Medicine Physician in White Bear Lake, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245205301

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Jennifer A Lake

Credential MD

Sex Female

Practice address 4422 White Bear Ave N, White Bear Lake, MN, 55110

Phone (651) 287-8780

Fax (651) 287-8786

Enumeration date Feb 22, 2006

Last updated in NPPES Dec 8, 2015

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 44657 (MN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
179001300	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1245205301 active?

Yes, as of the latest NPPES snapshot, NPI 1245205301 is active (record last updated 2015-12-08).

How do I verify Jennifer Lake's NPI record?

Cross-check NPI 1245205301 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-08.