KIRT LANE


Address: 748 14th Ave, Longview, WA 98632-2315
Phone: 3602005419

KIRT LANE (NPI# 1013541341) 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) 1013541341
Entity Type Individual
Full Name KIRT LANE
Practice Address 748 14th Ave
Longview
WA 98632-2315
Practice Telephone 3602005419
Mailing Telephone 3602005419
Enumeration Date 2020-02-25
Last Update Date 2020-02-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 748 14TH AVE
City LONGVIEW
State WA
Zip Code 98632-2315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104823699 Debbie C. Anderson Registered Nurse 748 14th Ave, Longview, WA 98632-2315 2005-06-30
1780283283 Oscar Gonzalez Counselor 748 14th Ave, Longview, WA 98632-2315 2020-10-26
1083213268 Amanda M Kersteter Counselor 748 14th Ave, Longview, WA 98632-2315 2020-10-20
1598362246 Jamie Lucas Peer Specialist 748 14th Ave, Longview, WA 98632-2315 2020-10-06
1851998595 Elizabeth Magnuson Counselor 748 14th Ave, Longview, WA 98632-2315 2020-10-06
1093322877 Elizabeth O'brien Counselor 748 14th Ave, Longview, WA 98632-2315 2020-09-25
1255947719 Leilani Grasser Counselor 748 14th Ave, Longview, WA 98632-2315 2020-09-21
1184230542 Rachael Tilton Counselor 748 14th Ave, Longview, WA 98632-2315 2020-09-21
1245845593 Caleb Idlett Counselor 748 14th Ave, Longview, WA 98632-2315 2020-09-14
1801400676 Maria Alba-estrada Counselor 748 14th Ave, Longview, WA 98632-2315 2020-08-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
Find all providers in zip 98632

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316589559 Nicole Wilhoit Peer Specialist 1338 Commerce Ave Ste F, Longview, WA 98632-3743 2019-10-09
1508323221 Teri Lee Owen Peer Specialist 1338 Commerce Ave Ste H, Longview, WA 98632-3732 2019-02-28
1184140881 Kimberly Denise Smith Peer Specialist 720 14th Ave Fl 2, Longview, WA 98632-2315 2017-08-15
1598362246 Jamie Lucas Peer Specialist 748 14th Ave, Longview, WA 98632-2315 2020-10-06
1104439587 Heather Marie Kraft Peer Specialist 900 Fir St, Longview, WA 98632-2544 2020-08-26
1528676632 Trenda Deann Hope Peer Specialist 748 14th Ave, Longview, WA 98632-2315 2020-07-15
1932717030 Rachael Taylor Peer Specialist 748 14th Ave, Longview, WA 98632-2315 2020-07-15
1366050379 Guy Steele Peer Specialist 748 14th Ave, Longview, WA 98632-2315 2020-07-15
1073147880 Kaylee Moe Peer Specialist 748 14th Ave, Longview, WA 98632-2315 2020-03-02
1952935827 April Rupp Peer Specialist 748 14th Ave, Longview, WA 98632-2315 2020-02-28
Find all providers in LONGVIEW

Competitor

Search similar providers

City LONGVIEW
Zip Code 98632

Improve Information

Please comment or provide details below to improve the information on KIRT LANE.

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.

Trending Searches