MARY K LANE (NPI# 1437596301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437596301 |
| Entity Type | Individual |
| Full Name | MARY K LANE |
| Credential | ARNP |
| Practice Address |
4525 3rd Ave Se Ste 200 Lacey WA 98503-1010 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3607543934 |
| Practice Fax Number | 3609438023 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60325583 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295130839 | Mary Elizabeth Lane | Nurse Practitioner | 1350a Cleveland St, Greenville, SC 29607-2408 | 2014-10-24 |
| 1629237284 | Mary P Lane | Nurse Practitioner | Stony Brook Univ Med Ical Ctr, T12, 080 Health Science Center, Stony Brook, NY 11794-0001 | 2008-06-08 |
| 1871634683 | Mary Penfield Lane | Nurse Practitioner | 5369 Pineywood Rd, Birmingham, AL 35242-3424 | 2007-02-12 |
| 1487767091 | Mary Anne Lane | Registered Nurse | 340 Seminary St., Kenansville, NC 28349 | 2006-08-16 |
| 1033105291 | Mary Boggs Lane | Family Medicine | Cherokee County Health Department, 228 Hilton Street, Murphy, NC 28906-2814 | 2005-09-23 |
| 1649801614 | Mary Lane | Physical Therapist | 1854 W Auburn Rd Ste 200, Rochester Hills, MI 48309-3868 | 2020-01-29 |
| 1144871914 | Mary Margaret Lane | Social Worker | 500 Victory Rd, Quincy, MA 02171-3139 | 2019-09-24 |
| 1134778715 | Mary Patricia Lane | Behavior Technician | 925 Conference Dr, Greenville, NC 27858-5971 | 2019-09-06 |
| 1508366238 | Mary C Lane | Licensed Vocational Nurse | 11049 W Hoffman Dr, Odessa, TX 79764-9043 | 2018-02-19 |
| 1518470327 | Mary Alice Lane | Registered Nurse | 5231 Penn Ave, Pittsburgh, PA 15224-1768 | 2017-11-15 |
| Street Address |
4525 3RD AVE SE STE 200 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700611 | James J Lechner | Specialist | 4525 3rd Ave Se Ste 200, Lacey, WA 98503 | 2005-06-17 |
| 1366670416 | Jocelyn Torres De Yao | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2009-06-28 |
| 1689846198 | Bojia Li | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2008-03-25 |
| 1306064472 | Nora Gant | Nurse Practitioner | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2007-04-23 |
| 1821112293 | Daniel Madison Byrd | Internal Medicine | 4525 3rd Ave Se Ste 200, Pmg Sw Wa Prcs Lacey Clinic, Lacey, WA 98503-1010 | 2007-03-19 |
| 1013095660 | Monique C. Semien | Internal Medicine | 4525 3rd Ave Se Ste 200, Pmg Sw Wa Prcs Lacey Clinic, Lacey, WA 98503-1010 | 2006-11-01 |
| 1902915945 | Brady Garland Miller | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503 | 2006-08-30 |
| 1306808381 | John David O'boyle | Obstetrics & Gynecology | 4525 3rd Ave Se Ste 200, Lacey, WA 98503 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861997058 | Kristina E G Barnes | Nurse Practitioner | 7000 Compass St Se, Lacey, WA 98513-4166 | 2018-03-28 |
| 1689032377 | Debra Staggs | Nurse Practitioner | 5840 Balustrade Blvd Se, Lacey, WA 98513-5076 | 2016-02-09 |
| 1003872789 | Cynthia A Ramsey | Nurse Practitioner | 1350 Marvin Rd Ne Ste D, Lacey, WA 98516-3877 | 2006-04-22 |
| 1346733649 | Megan Lynn Frasier | Nurse Practitioner | 2555 Marvin Rd Ne, Lacey, WA 98516 | 2018-06-11 |
| 1023531134 | Sheree Harvey | Nurse Practitioner | 669 Woodland Square Loop Se, Lacey, WA 98503-1038 | 2017-07-20 |
| 1952858755 | Melanie Ondong | Nurse Practitioner | 4800 College St Se, Lacey, WA 98503-4389 | 2016-09-08 |
| 1114389962 | Sarah M Kinnard | Nurse Practitioner | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2016-03-22 |
| 1104206929 | Meghan Neal | Nurse Practitioner | 1350 Marvin Rd Ne Ste D, Lacey, WA 98516-3877 | 2015-06-06 |
| 1417364761 | Molly Jean Martin | Nurse Practitioner | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 | 2014-07-18 |
| 1043625494 | Carrie Welty | Nurse Practitioner | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516-3138 | 2014-06-24 |
| Find all providers in LACEY | ||||
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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.