LANE MARIE BRYANT (NPI# 1013324367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013324367 |
| Entity Type | Individual |
| Full Name | LANE MARIE BRYANT |
| Other Name | LANE MARIE ERICKSON |
| Credential | PA-C |
| Practice Address |
1860 E Egbert St Brighton CO 80601-2475 |
| Mailing Address |
203 S Rollie Ave Billing Dept - Credentialist Fort Lupton CO 80621-1508 |
| Practice Telephone | 3036594000 |
| Practice Fax Number | 3036599306 |
| Mailing Telephone | 3032864560 |
| Mailing Fax Number | 3032864589 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0003983 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 96781386 | 05 |
| Street Address |
1860 E EGBERT ST |
| City | BRIGHTON |
| State | CO |
| Zip Code | 80601-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368407 | Lisa J Ruschak | Family Medicine | 1860 E Egbert St, Brighton, CO 80601-2475 | 2005-07-07 |
| 1073124590 | Alexandra Jean Walkush | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2404 | 2020-08-10 |
| 1861029993 | Kristen Nichole Robbins | Student in an Organized Health Care Education/Training Program | 1860 E Egbert St, Brighton, CO 80601-2404 | 2020-03-26 |
| 1295369361 | Ashley Ortiz | Student in an Organized Health Care Education/Training Program | 1860 E Egbert St, Brighton, CO 80601-2404 | 2020-02-27 |
| 1922661552 | Taylor Ashley Foster | Student in an Organized Health Care Education/Training Program | 1860 E Egbert St, Brighton, CO 80601-2404 | 2019-04-18 |
| 1326538604 | Monika Czekalska | Student in an Organized Health Care Education/Training Program | 1860 E Egbert St, Brighton, CO 80601-2404 | 2018-05-13 |
| 1316392152 | Jonathan Daniel Waldmann | Family Medicine | 1860 E Egbert St, Brighton, CO 80601-2404 | 2016-04-29 |
| 1033575261 | Norma Lopez | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2475 | 2016-01-04 |
| 1063829968 | Kelli Shanahan | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2475 | 2014-07-13 |
| 1174940241 | Plan De Salud Del Valle Inc | Pharmacy | 1860 E Egbert St, Brighton, CO 80601-2475 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
| 1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
| 1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
| 1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
| 1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
| Find all providers in zip 80601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326596396 | Constantina Kostka | Physician Assistant | 1560 Commonwealth Ave, Apt. #16, Brighton, MA 02135-5038 | 2016-09-19 |
| 1689919318 | Alexis Grant Kochevar | Physician Assistant | 70 S 20th Ave Ste H, Brighton, CO 80601-3704 | 2012-12-06 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1154804847 | Rebecca Lynn Kahn | Physician Assistant | 8273 Grand River Rd Ste 210, Brighton, MI 48114-9346 | 2018-09-10 |
| 1831695634 | Amanda Dvorak | Physician Assistant | 2801 Purcell St, Brighton, CO 80601 | 2018-04-02 |
| 1942759998 | Stephen Norris Pope-rolewski | Physician Assistant | 2801 Purcell St, Brighton, CO 80601-3551 | 2016-09-30 |
| 1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
| 1689070963 | Shawna Karman | Physician Assistant | 2801 Purcell St, Brighton, CO 80601-3551 | 2014-11-13 |
| 1083902811 | Lindsay C. Stanley | Physician Assistant | 736 Cambridge St, Brighton, MA 02135-2907 | 2011-07-14 |
| 1326349655 | Eva Marie Michals | Physician Assistant | 7960 Grand River Rd, Suite 160, Brighton, MI 48114-7330 | 2010-11-03 |
| Find all providers in BRIGHTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.