MS. JUDY LANE (NPI# 1043420896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043420896 |
| Entity Type | Individual |
| Full Name | MS. JUDY LANE |
| Credential | N.P., R.N. |
| Practice Address |
25 Mitchell Blvd Suite 8 San Rafael CA 94903-2007 |
| Mailing Address |
30 Marin Valley Dr Novato CA 94949-6806 |
| Practice Telephone | 4154722343 |
| Practice Fax Number | 4154727636 |
| Mailing Telephone | 4158833955 |
| Mailing Fax Number | 4154727636 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
501901 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407819584 | Judy C Lane | Specialist | 333 West Hampden Ave, Suite 310, Englewood, CO 80110 | 2006-04-10 |
| 1225116338 | Judy F. Lane | Chiropractor | 22471 Sueno Rd, Woodland Hills, CA 91364-2900 | 2006-11-02 |
| Street Address |
25 MITCHELL BLVD SUITE 8 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770537235 | Essential Balance Physical Therapy, Inc | Physical Therapist | 25 Mitchell Blvd, Suite 2, San Rafael, CA 94903-2007 | 2006-05-20 |
| 1801298930 | Lauren Ione Friedeman | Physical Therapist | 25 Mitchell Blvd, Suite 2, San Rafael, CA 94903-2007 | 2014-09-19 |
| 1992990782 | Shirley Elaine Hannah | Nurse Practitioner | 25 Mitchell Blvd, San Rafael, CA 94903-2007 | 2007-09-13 |
| 1215137716 | Seemin Anna Dallenbach | Chiropractor | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-07-23 |
| 1497959266 | Karilee Halo Shames | Registered Nurse | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-06-13 |
| 1679783625 | Richard L. Shames | Preventive Medicine | 25 Mitchell Blvd, #8, San Rafael, CA 94903-2007 | 2007-05-22 |
| 1881722247 | Thomas Reece | Neuromusculoskeletal Medicine, Sports Medicine | 25 Mitchell Blvd, San Rafael, CA 94903-2007 | 2007-02-28 |
| 1740318112 | Elson M Haas | Allergy & Immunology | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-02-28 |
| 1093893752 | Ann Hathaway | Family Medicine | 25 Mitchell Blvd, #3, San Rafael, CA 94903-2007 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093882367 | Susan Mary Degutes | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-11-29 |
| 1902984057 | Margarita Baca | Nurse Practitioner | 1033 3rd St, San Rafael, CA 94901-3107 | 2006-11-02 |
| 1548350416 | Terry S Carr | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-10-13 |
| 1538278494 | Thea D Cary | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-08-30 |
| 1902915168 | Rebecca Anne Shelley | Nurse Practitioner | 99 Montecillo Rd, Surgery Clinic, 2nd Floor, San Rafael, CA 94903-3308 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on MS. JUDY 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.