GEOFFREY C LANE (NPI# 1104462423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104462423 |
| Entity Type | Individual |
| Full Name | GEOFFREY C LANE |
| Credential | RRT-ACCS |
| Practice Address |
4216 Old Mill Cove Trl W Jacksonville FL 32277-1582 |
| Practice Telephone | 8138173863 |
| Practice Fax Number | 9042564646 |
| Mailing Telephone | 8138173863 |
| Mailing Fax Number | 9042564646 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841228533 | Geoffrey W Lane | Psychologist | 4951 Arroyo Rd, (116b/liv), Livermore, CA 94550-9650 | 2006-06-29 |
| 1275509374 | Geoffrey Lane | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-02-27 |
| Street Address |
4216 OLD MILL COVE TRL W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32277-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1376042176 | Seginald Rashaad Chaney | Adult Companion | 5885 Edenfield Rd, Charter Landing Apartments Apt E-10, Jacksonville, FL 32277 | 2018-02-07 |
| 1578966875 | Erin Chretien | Behavioral Analyst | 3780 University Club Blvd Apt 3204, Jacksonville, FL 32277 | 2014-09-30 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1982977443 | A1 Care Systems Inc | Assisted Living Facility | 7449 Sandhurst Rd S, Jacksonville, FL 32277 | 2012-02-14 |
| 1851453211 | Ajay Doddapaneni | Radiology | 7920 Merrill Rd Unit 708, Jacksonville, FL 32277 | 2006-12-14 |
| 1821184565 | Ramsey Bader Salem | Dentist | 6237 Merrill Road, Jacksonville, FL 32277 | 2006-10-04 |
| 1669913448 | Lalita Kummeth | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2017-03-14 |
| 1750761094 | Andrew Jervey Hunt | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2015-06-02 |
| 1629310909 | Arun Joseph | Pediatrics | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2013-03-25 |
| Find all providers in zip 32277 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141224 | Ami B Kowalski | Technician | 8161 Crosswind Rd, Jacksonville, FL 32244-5453 | 2019-12-17 |
| 1831759141 | Stephanie R Forde | Technician | 12379 Glimmer Way, Jacksonville, FL 32219-1867 | 2019-06-18 |
| 1093279572 | Andrew Jay Jackson | Technician | 125 County Road 4209, Jacksonville, TX 75766-5574 | 2019-01-29 |
| 1790259729 | Juanita R. Cooks | Technician | 3224 Liberty Cir, Jacksonville, FL 32206-2101 | 2019-01-12 |
| 1669945606 | Suzie Pennington | Technician | 7541 Fawn Lake Dr N, Jacksonville, FL 32256-3665 | 2019-01-02 |
| 1518439876 | Angela Rand | Technician | 1710 Naldo Ave, Jacksonville, FL 32207-3138 | 2018-12-27 |
| 1366913394 | Sandra Prince Alvey | Technician | 2829 Seville Ct, Jacksonville, FL 32207-4622 | 2018-12-17 |
| 1235600321 | Angela Justina Mcdonald | Technician | 3047 Mikris Dr E, Jacksonville, FL 32225-7607 | 2018-12-16 |
| 1306317359 | Lauren Renee Simao | Technician | 1665 Cedar Bay Rd, Jacksonville, FL 32218-4971 | 2018-12-16 |
| 1861976714 | Tomilko Adina Burden | Technician | 5984 Windsor Forest Dr Apt 5, Jacksonville, FL 32210-7802 | 2018-09-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32277 |
Please comment or provide details below to improve the information on GEOFFREY C LANE.
| 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.