KELLY LANE (NPI# 1538525738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538525738 |
Entity Type | Individual |
Full Name | KELLY LANE |
Practice Address |
998 Crooked Hill Rd Brentwood NY 11717-1019 |
Mailing Address |
998 Crooked Hill Road Brentwood NY 11717-1087 |
Practice Telephone | 6317612296 |
Mailing Telephone | 6317612296 |
Enumeration Date | 2016-01-05 |
Last Update Date | 2016-01-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427572163 | Kelly Michele Lane | Specialist/Technologist | 300 W Main St Apt 2b, Springport, MI 49284-9517 | 2017-08-02 |
1790025526 | Kelly Lane | Registered Nurse | 1327 Garfield Ave, Sidney, OH 45365-1723 | 2013-02-14 |
1962439737 | Kelly A Lane | Nurse Practitioner | 147 Parliament Loop Ste 1005, Lake Mary, FL 32746-3560 | 2006-06-27 |
1154376192 | Kelly M Lane | Anesthesiologist Assistant | 6326 Hospital Pkwy, Building 1000, Suite 111, Johns Creek, GA 30097 | 2006-05-24 |
1225594005 | Kelly Lane | Counselor | 7821 N Dale Mabry Hwy, Tampa, FL 33614-3275 | 2019-02-16 |
1740704535 | Kelly Shea Lane | Physical Therapist | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2017-08-02 |
1124474119 | Kelly M Lane | Counselor | 501 N Monroe St, Hutchinson, KS 67501-1345 | 2016-05-09 |
1952765745 | Kelly Lane | Physician Assistant | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2016-04-08 |
1861745440 | Kelly Beakley Lane | Psychologist | 18 N Hanson St, Easton, MD 21601-3176 | 2012-10-19 |
1669756375 | Kelly Ann Lane | Licensed Practical Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2011-09-30 |
Street Address |
998 CROOKED HILL RD |
City | BRENTWOOD |
State | NY |
Zip Code | 11717-1019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275153603 | Guerline Markowitz | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-27 |
1528688074 | Daniel Brian Bell | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-24 |
1083248280 | Schneidine Rely-supreme | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-02-26 |
1285264762 | Barbara M Bazemore | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-01-23 |
1730727165 | Gerard Fitzgerald Grant | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-12-17 |
1982240768 | Monica J Cuya | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
1942846746 | Alyssa Hope Smith | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
1720624505 | Lancia Dezalon | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
1164068946 | Kevin Fischer | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
1538700778 | Michael Vincent Massina | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-09-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
Find all providers in zip 11717 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548802689 | Travis J Moore | Counselor | 625 Hill Rd, Brentwood, TN 37027-4407 | 2019-10-10 |
1124678727 | Generation Gerannamo | Counselor | 119 Thomas St, Brentwood, NY 11717-1218 | 2019-09-16 |
1215493010 | Claire Martin | Counselor | 2100 S Brentwood Blvd, Brentwood, MO 63144-1829 | 2019-02-16 |
1194280594 | Kisha Heron | Counselor | 146 Westwood Dr, Brentwood, NY 11717-5721 | 2019-02-10 |
1053828699 | Shawna Kurz | Counselor | 191 Sand Creek Rd Ste 202g, Brentwood, CA 94513-2220 | 2018-01-04 |
1407376403 | Ashley Danielle Fussell | Counselor | 1624 Westgate Circle, Suite 100, Brentwood, TN 37027 | 2017-06-21 |
1891249975 | Gilbert Domingo Cruceta | Counselor | 57 Macarthur Ave, Brentwood, NY 11717-3404 | 2016-08-07 |
1629469085 | Kira Monterrey | Counselor | 1120 2nd St Ste 115, Brentwood, CA 94513-2230 | 2015-02-06 |
1487044483 | Bowra Faiez | Counselor | 160 Guthrie Ln, Brentwood, CA 94513-4059 | 2015-01-28 |
1467855890 | Lori Corona | Counselor | 1345 Jasmin Park Dr, Brentwood, TN 37027-6617 | 2014-09-30 |
Find all providers in BRENTWOOD |
Please comment or provide details below to improve the information on KELLY 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.