KELLY LANE


Address: 998 Crooked Hill Rd, Brentwood, NY 11717-1019
Phone: 6317612296

KELLY LANE (NPI# 1538525738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers KELLY LANE

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

Office Location

Street Address 998 CROOKED HILL RD
City BRENTWOOD
State NY
Zip Code 11717-1019

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City BRENTWOOD
Zip Code 11717

Improve Information

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Dataset Information

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.

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