MRS. MARY PENFIELD LANE (NPI# 1871634683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871634683 |
Entity Type | Individual |
Full Name | MRS. MARY PENFIELD LANE |
Credential | CRNP |
Practice Address |
5369 Pineywood Rd Birmingham AL 35242-3424 |
Practice Telephone | 2059916426 |
Mailing Telephone | 2059916426 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-025087 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBS OF AL | 51556190 | 01 |
AL | BCBS OF AL | 51529456 | 01 |
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 |
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 |
1215450234 | Mary Lane | Social Worker | 430 Southgate Ave, Iowa City, IA 52240-4425 | 2017-07-21 |
Street Address |
5369 PINEYWOOD RD |
City | BIRMINGHAM |
State | AL |
Zip Code | 35242-3424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
Find all providers in zip 35242 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427664788 | Sarah Elizabeth Baumgarten | Nurse Practitioner | 127 E Hawthorne Rd, Birmingham, AL 35209-3958 | 2020-09-21 |
1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
1609400621 | Vanessa Jones | Nurse Practitioner | 204 Vancouver Ct, Birmingham, AL 35211-6929 | 2020-02-28 |
1205472297 | Dilja Selcanin | Nurse Practitioner | 2237 Pembroke Rd, Birmingham, MI 48009-7507 | 2019-11-25 |
1427693480 | Alexandra Obarr Roussel | Nurse Practitioner | 1714 9th Ave S # Lrc300, Birmingham, AL 35205-3606 | 2019-11-14 |
1215582945 | Lauren Wall Maynard | Nurse Practitioner | 2145 Highland Ave S Ste 200, Birmingham, AL 35205-4015 | 2019-08-08 |
1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
1376019315 | Juyoung Jackson | Nurse Practitioner | 513 Brookwood Blvd Ste 500, Birmingham, AL 35209-7817 | 2018-10-17 |
1265908313 | Katie Fortenberry Miller | Nurse Practitioner | 833 Princeton Ave Sw Bldg IIi, Birmingham, AL 35211-1323 | 2018-10-16 |
1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35242 |
Please comment or provide details below to improve the information on MRS. MARY PENFIELD 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.