KELLY ANN LANE (NPI# 1669756375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669756375 |
| Entity Type | Individual |
| Full Name | KELLY ANN LANE |
| Credential | LPN |
| Practice Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4797502020 |
| Mailing Telephone | 4797502020 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L38300 | AR | Nursing 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 |
| 1538525738 | Kelly Lane | Counselor | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2016-01-05 |
| 1861745440 | Kelly Beakley Lane | Psychologist | 18 N Hanson St, Easton, MD 21601-3176 | 2012-10-19 |
| Street Address |
2400 S 48TH ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461887 | Ozark Guidance Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2400 S 48th St, Springdale, AR 72762-6683 | 2005-07-19 |
| 1043811136 | Brook Taylor Mattison | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-04 |
| 1861093171 | Leah Belote | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-03 |
| 1578162764 | Cierra Creek | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-20 |
| 1083211718 | Michelle Legan | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1235736976 | Haley Medford | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1174130926 | Mallory Cornett | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-09-25 |
| 1235742859 | Emily Magee | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-24 |
| 1932710134 | Sara Ruth Nelson | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-11 |
| 1659904548 | Danica Bass | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104178466 | Stephen Azeh Tanjang | Licensed Practical Nurse | 9216 Hobart St, Springdale, MD 20774-5409 | 2012-10-11 |
| 1619237336 | Mariama Jalloh Kamara | Licensed Practical Nurse | 2814 Citrus Ln, Springdale, MD 20774-7528 | 2012-05-29 |
| 1508825084 | Michael Patrick Matson | Licensed Practical Nurse | 719 Park Ave, Springdale, OH 45246-2117 | 2006-03-22 |
| 1679119275 | Destiny Savanna Harvey | Licensed Practical Nurse | 2210 Main Dr, Springdale, AR 72762-6802 | 2019-11-19 |
| 1417425026 | Jodi N Phipps | Licensed Practical Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2018-11-13 |
| 1396253787 | David W Smith | Licensed Practical Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2018-01-19 |
| 1588040711 | Coty Deutschman | Licensed Practical Nurse | 2210 Main Dr, Springdale, AR 72762-6802 | 2015-08-11 |
| 1578965927 | Amanda Bryant | Licensed Practical Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2014-09-17 |
| 1003233305 | Elizabeth Brickell | Licensed Practical Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2014-03-25 |
| 1720331515 | Donatus Nnanyelugo | Licensed Practical Nurse | 667 Harcourt Dr, Springdale, OH 45246 | 2012-10-18 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on KELLY ANN 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.